Organization
CSA PSYCHIATRIC HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISOPHIA HARPER MSN, APRN, PMHNP (ADMINISTRATOR)
(404) 621-4535
Entity
Organization
Contact information
Practice address
327 W MAIN ST, THOMASTON, GA 30286-3502
(404) 621-4535
Mailing address
17 HAMPTON ST STE E, MCDONOUGH, GA 30253-3159
(404) 621-4535
(404) 621-4535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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