Provider Demographics
NPI:1124780226
Name:REMOTIVATE YOU COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:REMOTIVATE YOU COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICO
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP/S, BCS
Authorized Official - Phone:803-547-2777
Mailing Address - Street 1:337 COATBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-9694
Mailing Address - Country:US
Mailing Address - Phone:803-574-2777
Mailing Address - Fax:
Practice Address - Street 1:337 COATBRIDGE DR
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-9694
Practice Address - Country:US
Practice Address - Phone:803-574-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty