P Praxis·MD
● Active Type 2 · Organization

Coastal Georgia Psychodynamic Center, Llc

Psychologist·Statesboro, GA· NPI 1871033654 · Enumerated 2017 · 9 years on NPI
Coastal Georgia Psychodynamic Center, Llc is 1 of 1487 psychologist organizations in Georgia.
NPI age
9 years
Enumerated 2017-02-28
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rickard
Organizer
Last NPPES update
2020-05-11
Source: monthly bulk 2026-05

How this organization compares

Across 1487 active psychologist providers in Georgia.

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

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
325 S Walnut St
Statesboro, GA 304585418
📞 9124219050fax 9126234918
Mailing address
325 S Walnut St
Statesboro, GA 304585418
📞 9124219050fax 9126234918

Authorized official

Amanda Rickard
Organizer
📞 9124219050

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 #PSY003907 taxonomy 103TC0700X

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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