Provider Demographics
NPI:1205524840
Name:URBANMOTIVATORS LLC
Entity type:Organization
Organization Name:URBANMOTIVATORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:440-454-4379
Mailing Address - Street 1:11841 LAKE AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1802
Mailing Address - Country:US
Mailing Address - Phone:440-454-4379
Mailing Address - Fax:
Practice Address - Street 1:11801 CLIFTON BLVD STE 2
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-2058
Practice Address - Country:US
Practice Address - Phone:440-454-4379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty