Healthcare Provider Details
I. General information
NPI: 1568366029
Provider Name (Legal Business Name): ATB WELLNESS GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3804 RIVER VIEW DR
MOUNTAIN BRK AL
35243-4721
US
IV. Provider business mailing address
3804 RIVER VIEW DR
MOUNTAIN BRK AL
35243-4721
US
V. Phone/Fax
- Phone: 205-286-2003
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
ASHLEY
BEARD
Title or Position: OWNER
Credential: DHSC, MA, LPC
Phone: 205-936-4087