Provider Demographics
NPI:1326388984
Name:ACT NOW LLC
Entity Type:Organization
Organization Name:ACT NOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:SHAVONE
Authorized Official - Last Name:MCJUNKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-202-4452
Mailing Address - Street 1:1360 POWERS FERRY RD SE
Mailing Address - Street 2:SUITE A-130
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5490
Mailing Address - Country:US
Mailing Address - Phone:404-961-0829
Mailing Address - Fax:
Practice Address - Street 1:1360 POWERS FERRY RD SE
Practice Address - Street 2:SUITE A-130
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5490
Practice Address - Country:US
Practice Address - Phone:404-961-0829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health