Provider Demographics
NPI:1043090574
Name:MENTAL MOTIVATION THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:MENTAL MOTIVATION THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-512-8141
Mailing Address - Street 1:23772 WEST RD # 183
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3050
Mailing Address - Country:US
Mailing Address - Phone:734-512-8141
Mailing Address - Fax:
Practice Address - Street 1:16258 HILLSBRIAR DR
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-2981
Practice Address - Country:US
Practice Address - Phone:734-512-8141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health