Live Oak Wellness, Llc

LBN: Live Oak Wellness, Llc
Live Oak Wellness, Llc is an health care organization with primary practice located at 1535 Mount Vernon Rd , Dunwoody GA 30338-4149. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Live Oak Wellness, Llc can be contacted via phone (770) 845-0586, or through Merker, Andrew via phone (770) 845-0586.

Contact Information

Primary practice address
1535 Mount Vernon Rd Dunwoody GA 30338-4149
Phone: (770) 845-0586
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Merker, Andrew
Phone: (770) 845-0586

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1730730839
LBN Legal business name Live Oak Wellness, Llc
DBA Doing business as
Authorized official Merker, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2019
Last updated Jan 27th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730730839 NPPES
Other 1356664007 PAUL PANCHAJANYA

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