Healthcare Provider Details

I. General information

NPI: 1679439319
Provider Name (Legal Business Name): ATFERD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W LOVELAND AVE STE 4
LOVELAND OH
45140-2360
US

IV. Provider business mailing address

600 W LOVELAND AVE STE 4
LOVELAND OH
45140-2360
US

V. Phone/Fax

Practice location:
  • Phone: 224-631-7190
  • Fax:
Mailing address:
  • Phone: 224-631-7190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SASA VRANESEVIC
Title or Position: CEO
Credential:
Phone: 224-631-7190