MEDICARE: MOTIVATE & MAINTAIN CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QP2300X	Primary Care Clinic/Center
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
5	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346039898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTIVATE & MAINTAIN CONSULTING

Provider Business Mailing Address
First Line	:	357 OLD HOLLOW RD STE 4
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-9684
Country	:	US
Telephone Number	:	336-491-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 MISSION BAY BLVD APT 254
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-5112
Country	:	US
Telephone Number	:	336-491-9006
Fax Number	:

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MONTRAVON HERBIN
Credential	:
Telephone Number	:	336-491-9906

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	05/01/2025

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Directions to “MOTIVATE & MAINTAIN CONSULTING ” Practice Location

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