P Praxis·MD
● Active Type 2 · Organization

Living Fully Psychological Services, Llc

Psychologist·Decatur, GA· NPI 1639439201 · Enumerated 2012 · 14 years on NPI
Living Fully Psychological Services, Llc is 1 of 1487 psychologist organizations in Georgia.
NPI age
14 years
Enumerated 2012-05-17
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moghaddam
Director
Last NPPES update
2013-03-04
Source: monthly bulk 2026-05

How this organization compares

Across 1487 active psychologist providers in Georgia.

NPI age
14 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
111 N McDonough St
Decatur, GA 300303317
📞 6785919117fax 7704588640
Mailing address
111 N McDonough St
Decatur, GA 300303317
📞 6785919117fax 7704588640

Authorized official

Pegah Moghaddam, PSY.D.
Director
📞 6785919117

Individual providers at this organization

8 individual providers on file at this primary practice address.

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #PSY003405 taxonomy 103TC0700X

Other names on file (1)

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

  • Pegah Moghaddam, Psy.D.
    Type code 5 recorded 2012-05-17

Practice context

Multi-provider organization. 8 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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