MEDICARE: ACTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	1942-03-001	VA

General Provider Information

NPI Number	:	1114355245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTS, LLC

Provider Business Mailing Address
First Line	:	650 N LEE HWY
Second Line	:	BUILDING 20, SUITE 4
City	:	LEXINGTON
State	:	VA
Zip	:	24450-3759
Country	:	US
Telephone Number	:	540-526-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 N LEE HWY
Second Line	:	BUILDING 20, SUITE 4
City	:	LEXINGTON
State	:	VA
Zip	:	24450-3759
Country	:	US
Telephone Number	:	540-526-4673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GREGORY DEAN HORNBACK
Credential	:	LPC
Telephone Number	:	540-526-4673

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	10/29/2013

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