Organization · Type 2 NPI

Southern Live Oak Wellness Academy LLC

Psychiatric Residential Treatment Facility · Atlanta, GA

NPI number 1295674141 Active

Practice location

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

Specialties and licenses

Taxonomy	Code	License
Psychiatric Residential Treatment Facility Primary	323P00000X	None listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

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About NPI 1295674141

Southern Live Oak Wellness Academy LLC's National Provider Identifier is 1295674141, issued on Mar 26, 2026. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 10, 2026.