Provider Demographics
NPI:1780346486
Name:MOTIVATE ENHANCE FOCUS COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:MOTIVATE ENHANCE FOCUS COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FAIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:984-233-1471
Mailing Address - Street 1:5929 BRAMBLETON AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5597
Mailing Address - Country:US
Mailing Address - Phone:984-233-1471
Mailing Address - Fax:
Practice Address - Street 1:5929 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5597
Practice Address - Country:US
Practice Address - Phone:984-233-1471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-10
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health