Provider Demographics
NPI:1265916563
Name:MOTIV8 INC.
Entity type:Organization
Organization Name:MOTIV8 INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCARLETT
Authorized Official - Middle Name:BAKER
Authorized Official - Last Name:TAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-615-2919
Mailing Address - Street 1:3100 S BERRY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-7480
Mailing Address - Country:US
Mailing Address - Phone:405-615-2919
Mailing Address - Fax:
Practice Address - Street 1:3100 S BERRY RD STE 200
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-7480
Practice Address - Country:US
Practice Address - Phone:405-615-2919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty