Provider Demographics
NPI:1295410041
Name:THE MOTIVATION, CHANGE & TRANSFORMATION GROUP
Entity type:Organization
Organization Name:THE MOTIVATION, CHANGE & TRANSFORMATION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHP
Authorized Official - Phone:804-615-2306
Mailing Address - Street 1:4906 FITZHUGH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3520
Mailing Address - Country:US
Mailing Address - Phone:804-615-2306
Mailing Address - Fax:
Practice Address - Street 1:4906 FITZHUGH AVE STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3520
Practice Address - Country:US
Practice Address - Phone:804-615-2306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty