Organization Active NPI

Csa Psychiatric Healing Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Thomaston, GA
National Provider Identifier
1275426454
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daisophia Harper, MSN, APRN, PMHNPNPI 1225692882
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2331018Csa Psychiatric Healing Center327 West Main Street, Thomaston, GA 30286Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.