SAMUDRA PSYCHOLOGICAL SERVICES LLC
NPI 1194202911
Clinic/Center - Mental Health (Including Community Mental Health Center) in Atlanta, GA

Q: What is Samudra Psychological Services LLC's NPI number?

The NPI number for Samudra Psychological Services LLC is 1194202911. It was assigned to this organization in the NPPES registry on July 24, 2018.

Q: What is Samudra Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 24, 2018

675 SEMINOLE AVE NE STE T03, ATLANTA, GA 30307(404) 249-0520 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Samudra Psychological Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUDRA PSYCHOLOGICAL SERVICES LLC (NPI 1194202911) is a healthcare organization registered as a mental health (including community mental health center) in Atlanta, Georgia and active in the NPI registry since July 2018. The organization lists Elizabeth Sue Bradshaw-livingston, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1194202911

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSAMUDRA PSYCHOLOGICAL SERVICES LLC

Location Address675 SEMINOLE AVE NE STE T03Atlanta, GA 30307-3409

Mailing Address316 Somerlane PlAvondale Estates, GA 30002-1221 · (269) 352-7407

Phone(404) 249-0520

Organization SubpartNo

Authorized OfficialElizabeth Sue Bradshaw-livingstonLicensed Psychologist · (404) 249-0520

Enumeration DateJuly 24, 2018

✔ NPI 1194202911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in GA · 003691

675 SEMINOLE AVE NE STE T03, Atlanta, GA 30307

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN KITTO MS, LPC

Counselor (Mental Health)

675 SEMINOLE AVE NE STE T03
ATLANTA, GA 30307

Fulton County (404) 249-0520

DANTEGO EMILIA ROBINSON

Massage Therapist

675 SEMINOLE AVE NE STE T03
ATLANTA, GA 30307

Fulton County (678) 361-6906

DR. ELIZABETH SUE BRADSHAW-LIVINGSTON PHD

Psychologist

675 SEMINOLE AVE NE STE T03
ATLANTA, GA 30307

Fulton County (404) 249-0520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samudra Psychological Services LLC's NPI number?

The NPI number for Samudra Psychological Services LLC is 1194202911. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Samudra Psychological Services LLC located?

Samudra Psychological Services LLC is located at 675 Seminole Ave NE Ste T03, Atlanta, GA 30307. The listed phone number is (404) 249-0520.

What is Samudra Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Samudra Psychological Services LLC was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.