NPI 1295674141

Southern Live Oak Wellness Academy LLC

Organisation Psychiatric Residential Treatment Facility Atlanta, GA

Practice location

Address: 1742 Mount Vernon Rd STE 305, Atlanta, GA 30338-4251
Phone: (404) 951-6020

Authorised official

Name: Elizabeth Kuecher
Title: Ceo
Phone: (404) 951-6020

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Georgia →

Registry record

NPI: 1295674141
Entity type: Organization
NPI issued: 26 Mar 2026
Record last updated: 10 Jul 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.