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
4609 N PEACHTREE RD, ATLANTA, GA 30338-5810
(404) 951-6020
Mailing address
4609 N PEACHTREE RD, ATLANTA, GA 30338-5810
(404) 951-6020
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
04/20/2026
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