Operation Street Harvest, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OPERATION STREET HARVEST, INC.

Practice address

1 W Court SQ Ste 750
Decatur, GA 30030-2538

Phone

(678) 978-9391

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tonya Lynn Sumner Brown, PSYD, LPC, CPCS

Title

Ceo/President/Clinical Supervisor

Phone

(678) 978-9391

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1376394783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 MISTY LK",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941164",
            "telephone_number": "678-978-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302538",
            "telephone_number": "678-978-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Court Sq Ste 750",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302545",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4153 Flat Shoals Pkwy Bldg C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300344106",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Town Park Commons",
            "address_2": "Suite 300, Office 78, 125 Town Park Drive",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "30144",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPERATION STREET HARVEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SUMNER BROWN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/PRESIDENT/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "678-978-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.