Provider Demographics
NPI:1235739574
Name:MOTIVATED CONCEPTS, LLC
Entity Type:Organization
Organization Name:MOTIVATED CONCEPTS, LLC
Other - Org Name:AMY WOODMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:G
Authorized Official - Last Name:WOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:860-324-8963
Mailing Address - Street 1:1 SILVER BROOK LN
Mailing Address - Street 2:
Mailing Address - City:NORTH GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06060-1111
Mailing Address - Country:US
Mailing Address - Phone:860-324-8963
Mailing Address - Fax:
Practice Address - Street 1:720 HOPMEADOW ST STE 4
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2224
Practice Address - Country:US
Practice Address - Phone:860-324-8963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty