SAMUDRA PSYCHOLOGICAL SERVICES LLC is a mental health (including community mental health center) clinic center in Atlanta, GA. SAMUDRA PSYCHOLOGICAL SERVICES LLC NPI is 1194202911. The provider is registered as an organization entity type.
The provider's business location address is:
675 SEMINOLE AVE NE STE T03 ATLANTA, GA ZIP 30307-409 Phone: (404) 249-0520
The provider's authorized official is Elizabeth Sue Bradshaw-livingston . The authorized official title is Licensed Psychologist and has the following contact phone number (404) 249-0520.
The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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