OrganizationActive
Southern Live Oak Wellness Academy LLC
NPI 1295674141 · Psychiatric Residential Treatment Facility · Atlanta, GA
Provider details
- NPI number
- 1295674141
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Kuecher, Ceo(404) 951-6020
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4609 N Peachtree Rd
Atlanta, GA 30338-5810
Phone: (404) 951-6020
Approximate (ZIP-level) locationGet directions
Mailing address
4609 N Peachtree Rd
Atlanta, GA 30338-5810
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.