Provider Demographics
NPI:1265138572
Name:MOTUS COUNSELING LLC
Entity type:Organization
Organization Name:MOTUS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ZETZSCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:507-421-8072
Mailing Address - Street 1:1708 NORTHERN VIOLA LN NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-6948
Mailing Address - Country:US
Mailing Address - Phone:507-421-8072
Mailing Address - Fax:
Practice Address - Street 1:1708 NORTHERN VIOLA LN NE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-6948
Practice Address - Country:US
Practice Address - Phone:507-421-8072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty