Organization
SOUTHERN LIVE OAK WELLNESS PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KUECHER (CEO)
(404) 951-6020
Entity
Organization
Contact information
Practice address
4828 ASHFORD DUNWOODY RD STE 100, ATLANTA, GA 30338-4833
(770) 238-2674
Mailing address
4828 ASHFORD DUNWOODY RD STE 100, ATLANTA, GA 30338-4833
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/15/2025
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