Provider Demographics
NPI:1265040752
Name:ACT WELLNESS CENTER
Entity Type:Organization
Organization Name:ACT WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:SADLER
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-962-7444
Mailing Address - Street 1:1632 MIDDLE TENNESSEE BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5108
Mailing Address - Country:US
Mailing Address - Phone:615-962-7444
Mailing Address - Fax:615-962-7853
Practice Address - Street 1:1632 MIDDLE TENNESSEE BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5108
Practice Address - Country:US
Practice Address - Phone:615-962-7444
Practice Address - Fax:615-962-7853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder