Provider Demographics
NPI:1295565810
Name:FOREVERNOW LLC
Entity type:Organization
Organization Name:FOREVERNOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMT
Authorized Official - Phone:704-227-1669
Mailing Address - Street 1:1010 N TENNESSEE ST STE 214
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8528
Mailing Address - Country:US
Mailing Address - Phone:704-227-1669
Mailing Address - Fax:305-890-2721
Practice Address - Street 1:1010 N TENNESSEE ST STE 214
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8528
Practice Address - Country:US
Practice Address - Phone:704-227-1669
Practice Address - Fax:305-890-2721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care