# LIVE OAK WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730730839
- **Authorized official:** MR. ANDREW MERKER (CEO)
- **Authorized official phone:** (770) 845-0586

## Contact information

- **Practice address:** 1535 MOUNT VERNON RD, DUNWOODY, GA 30338-4149
- **Practice address phone:** (770) 845-0586
- **Mailing address:** PO BOX 889128, ATLANTA, GA 30356-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 01/27/2020