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General NPI Number Information
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NPI Number | 1114724283
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Entity Type | Organization
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Legal Business Name | MOTIVATED AND EMPOWERED INC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5320 STANARD AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-1337
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Country | US
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Telephone | 440-703-0987
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 LYNDWAY RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1244
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Country | US
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Telephone | 216-262-9760
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BIANCA CRAWFORD
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Credential |
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Telephone | 216-262-9760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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