Southern Live Oak Wellness Academy LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SOUTHERN LIVE OAK WELLNESS ACADEMY LLC

Practice address

1742 Mount Vernon Rd Ste 305
Atlanta, GA 30338-4251

Phone

(404) 951-6020

NPI assigned

Mar 26, 2026

Last updated

Jul 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Kuecher

Title

Ceo

Phone

(404) 951-6020

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1295674141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 MOUNT VERNON RD STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384251",
            "telephone_number": "404-951-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 MOUNT VERNON RD STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384251",
            "telephone_number": "404-951-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVE OAK WELLNESS ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "KUECHER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-951-6020"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Heritage Financial Group
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• Southern Home Care Services, LLC (ResCare HomeCare)
• Southern Live Oak Wellness Psychiatric Services LLC
• Southern Medical Equipment Inc.
• Southern Oaks Healthcare Inc
• Southern Pain and Spine Associates, LLC
• Southern Pain Institute, PC (Southern Spine & Pain Institute)

• Psychiatric Residential Treatment Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.