P Praxis·MD
● Active Type 2 · Organization

Southern Psychological And Behavioral Services, Llc

Psychologist·Valdosta, GA· NPI 1164870408 · Enumerated 2016 · 9 years on NPI
Southern Psychological And Behavioral Services, Llc is 1 of 1114 psychologist organizations in Georgia.
NPI age
9 years
Enumerated 2016-05-26
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mancil
Licensed Psychologist/owner
Last NPPES update
2016-05-26
Source: monthly bulk 2026-05

How this organization compares

Across 1114 active psychologist providers in Georgia.

NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
202 W Gordon St, Suite D
Valdosta, GA 316014569
📞 2294749800fax 2295154443
Mailing address
202 W Gordon St, Suite D
Valdosta, GA 316014569
📞 2294749800fax 2295154443

Authorized official

Twyla Lucinda Mancil, PH. D.
Licensed Psychologist/owner
📞 3527278679

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    GA license #PSY003935 taxonomy 103T00000X

Identifiers

TypeValueNotes
05 (GA) 00316809A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • SPBS
    Type code 5 recorded 2016-05-26

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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