Provider Demographics
NPI:1306061718
Name:GREAT MOTIVATION INC.
Entity type:Organization
Organization Name:GREAT MOTIVATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-962-5683
Mailing Address - Street 1:2108 PAULINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-5518
Mailing Address - Country:US
Mailing Address - Phone:504-962-5683
Mailing Address - Fax:504-962-5684
Practice Address - Street 1:1661 CANAL ST
Practice Address - Street 2:SUITE 3220
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2861
Practice Address - Country:US
Practice Address - Phone:504-962-5683
Practice Address - Fax:504-962-5684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11474251G00000X
LA11470251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1740969Medicaid
LA1629294Medicaid
LA1017981Medicaid
LA1018015Medicaid