Provider Demographics
NPI:1346039898
Name:MOTIVATE & MAINTAIN CONSULTING
Entity type:Organization
Organization Name:MOTIVATE & MAINTAIN CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONTRAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-491-9906
Mailing Address - Street 1:357 OLD HOLLOW RD STE 4
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-9684
Mailing Address - Country:US
Mailing Address - Phone:336-491-9006
Mailing Address - Fax:
Practice Address - Street 1:3405 MISSION BAY BLVD APT 254
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-5112
Practice Address - Country:US
Practice Address - Phone:336-491-9006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder