NPI 1023841731
Southern Live Oak Wellness Psychiatric Services LLC
Practice location
- Address
- 4828 Ashford Dunwoody Rd STE 100, Atlanta, GA 30338-4833
- Phone
- (770) 238-2674
Authorised official
- Name
- Elizabeth Kuecher
- Title
- Ceo
- Phone
- (404) 951-6020
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1023841731
- Entity type
- Organization
- NPI issued
- 20 Aug 2024
- Record last updated
- 5 Aug 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.