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Organization
SOUTHERN LIVE OAK WELLNESS ACADEMY LLC
Active
Organization
SOUTHERN LIVE OAK WELLNESS ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KUECHER (CEO)
(404) 951-6020
Entity
Organization
Contact information
Practice address
1742 MOUNT VERNON RD STE 305, ATLANTA, GA 30338-4251
(404) 951-6020
Mailing address
1742 MOUNT VERNON RD STE 305, ATLANTA, GA 30338-4251
(404) 951-6020
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
03/26/2026
Last updated
07/10/2026
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