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NPI 1568366029

NPI 1568366029 : ATB WELLNESS GROUP, LLC : MOUNTAIN BRK, AL

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General NPI Number Information
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    NPI Number           |    1568366029
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATB WELLNESS GROUP, LLC 
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Dates
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    Enumeration Date     |    10/06/2026
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    Last Update Date     |    10/06/2026
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Provider Practice Location Address
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    Address Line         |    3804 RIVER VIEW DR 
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    City                 |    MOUNTAIN BRK
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    State                |    AL
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    Zip                  |    35243-4721
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    Country              |    US
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    Telephone            |    205-286-2003
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3804 RIVER VIEW DR 
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    City                 |    MOUNTAIN BRK
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    State                |    AL
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    Zip                  |    35243-4721
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ASHLEY  BEARD 
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    Credential           |    DHSC, MA, LPC
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    Telephone            |    205-936-4087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    NULL
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