Healthcare Provider Details

I. General information

NPI: 1134753635
Provider Name (Legal Business Name): ACT NOW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2020
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1791 COUNTY ROAD 537
CROSSVILLE AL
35962-3042
US

IV. Provider business mailing address

1791 COUNTY ROAD 537
CROSSVILLE AL
35962-3042
US

V. Phone/Fax

Practice location:
  • Phone: 256-302-2336
  • Fax:
Mailing address:
  • Phone: 256-302-2336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARK HARRISON
Title or Position: OWNER
Credential: LICSW
Phone: 256-302-2336