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

Southern Psychological and Behavioral Services, LLC

Organization Psychologist · NPI 1164870408

Southern Psychological and Behavioral Services, LLC provides Psychologist services in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

202 W Gordon St Ste D
Valdosta, GA 31601-4569 Not confirmed with CMS for 10 years — call before visiting
Phone: (229) 474-9800
Fax: (229) 515-4443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY003935 (GA)

Record details

NPI number1164870408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Twyla Mancil — Licensed Psychologist/Owner · (352) 727-8679
Other names Spbs
NPI enumeratedMay 26, 2016
Last updated in NPPESMay 26, 2016
Mailing address202 W Gordon St, Suite D, Valdosta, GA 31601-4569

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