Provider Demographics
NPI:1508686890
Name:BLACK GIRL MOTTO FOUNDATION LLC
Entity type:Organization
Organization Name:BLACK GIRL MOTTO FOUNDATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLUPS
Authorized Official - Suffix:
Authorized Official - Credentials:BHS
Authorized Official - Phone:513-525-0500
Mailing Address - Street 1:2556 FREEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-1422
Mailing Address - Country:US
Mailing Address - Phone:513-525-0500
Mailing Address - Fax:
Practice Address - Street 1:2556 FREEMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-1422
Practice Address - Country:US
Practice Address - Phone:513-525-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-12
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health