P Praxis·MD
● Active Type 2 · Organization

Samudra Psychological Services Llc

Clinic/Center·Atlanta, GA· NPI 1194202911 · Enumerated 2018 · 7 years on NPI
Samudra Psychological Services Llc is 1 of 662 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2018-07-24
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bradshaw-Livingston
Licensed Psychologist
Last NPPES update
2018-07-24
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
675 Seminole Ave Ne Ste T03
Atlanta, GA 303073409
📞 4042490520
Mailing address
316 Somerlane Pl
Avondale Estates, GA 300021221
📞 2693527407

Authorized official

Elizabeth Sue Bradshaw-Livingston, PHD
Licensed Psychologist
📞 4042490520

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #003691 taxonomy 261QM0801X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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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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