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Organization

OPERATION STREET HARVEST, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TONYA LYNN SUMNER BROWN PSYD, LPC, CPCS (CEO/PRESIDENT/CLINICAL SUPERVISOR)
(678) 978-9391
Entity
Organization

Contact information

Practice address
1 W COURT SQ STE 750, DECATUR, GA 30030-2538
(678) 978-9391
Mailing address
3982 MISTY LK, ELLENWOOD, GA 30294-1164
(678) 978-9391

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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