Active NPI
Csa Psychiatric Healing Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Thomaston, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CSA PSYCHIATRIC HEALING CENTER LLC
- Practice address
- 327 W Main St
Thomaston, GA 30286-3502 - Phone
- (404) 621-4535
- NPI assigned
- May 29, 2025
- Last updated
- May 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daisophia Harper, MSN, APRN, PMHNP
- Title
- Administrator
- Phone
- (404) 621-4535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
327 W Main St
Thomaston, GA 30286-3502
Mailing address
17 Hampton St Ste E
McDonough, GA 30253-3159
Phone (404) 621-4535
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2331018 | Csa Psychiatric Healing Center | Certificate of waiver | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
327 W Main St
Thomaston, GA 30286
Phone (404) 621-4535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- McDonough, GA
- NPI 1225692882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748476800000",
"number": "1275426454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 HAMPTON ST STE E",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533159",
"telephone_number": "404-621-4535",
"fax_number": "404-621-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 W MAIN ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863502",
"telephone_number": "404-621-4535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CSA PSYCHIATRIC HEALING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "DAISOPHIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "404-621-4535",
"authorized_official_credential": "MSN, APRN, PMHNP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.