Provider Demographics
NPI: | 1639441736 |
---|---|
Name: | NATURAL MOTIVATIONS INC. |
Entity type: | Organization |
Organization Name: | NATURAL MOTIVATIONS INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | THERESA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BUSSERT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW |
Authorized Official - Phone: | 630-428-0068 |
Mailing Address - Street 1: | 2865 GYPSUM CIR |
Mailing Address - Street 2: | |
Mailing Address - City: | NAPERVILLE |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60564-4767 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 132 N WASHINGTON ST STE 2A |
Practice Address - Street 2: | |
Practice Address - City: | NAPERVILLE |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60540-4512 |
Practice Address - Country: | US |
Practice Address - Phone: | 630-428-0062 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-02-03 |
Last Update Date: | 2012-02-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IL | 149011056 | 1041C0700X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |