Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Living Fully Psychological Services, LLC

Organization Clinical Psychologist · NPI 1639439201

Living Fully Psychological Services, LLC is a Clinical Psychologist in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 N McDonough St
Decatur, GA 30030-3317
Phone: (678) 591-9117
Fax: (770) 458-8640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY003405 (GA)

Record details

NPI number1639439201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pegah Moghaddam — Director · (678) 591-9117
Other names Pegah Moghaddam, Psy.D.
NPI enumeratedMay 17, 2012
Last updated in NPPESMarch 4, 2013
Mailing address111 N McDonough St, Decatur, GA 30030-3317

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