CSA PSYCHIATRIC HEALING CENTER LLC
NPI 1275426454
Nurse Practitioner - Psychiatric/Mental Health in Thomaston, GA

Active since May 29, 2025CLIA 11D2331018 · Waiver
327 W MAIN ST, THOMASTON, GA 30286(404) 621-4535 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Csa Psychiatric Healing Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CSA PSYCHIATRIC HEALING CENTER LLC (NPI 1275426454) is a healthcare organization registered as a psychiatric/mental health in Thomaston, Georgia and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Daisophia Harper, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275426454
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCSA PSYCHIATRIC HEALING CENTER LLC
Location Address327 W MAIN STThomaston, GA 30286-3502
Mailing Address17 Hampton St Ste EMcdonough, GA 30253-3159 · (404) 621-4535 · Fax (404) 621-4535
Organization SubpartNo
Authorized OfficialDaisophia HarperAdministrator · (404) 621-4535
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
NPI 1275426454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
327 W MAIN ST, Thomaston, GA 30286

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2331018

Csa Psychiatric Healing Center · Thomaston, GA
Active · expires Sep 24, 2027
CLIA Number11D2331018
Laboratory TypeOutpatient Php/Iop
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorRykeyla Bridges
Laboratory Phone(407) 962-2210
Laboratory LocationCsa Psychiatric Healing Center327 West Main Street, Thomaston, GA 30286
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Csa Psychiatric Healing Center LLC's NPI number?

The NPI number for Csa Psychiatric Healing Center LLC is 1275426454. It was assigned to this organization in the NPPES registry on May 29, 2025.

Where is Csa Psychiatric Healing Center LLC located?

Csa Psychiatric Healing Center LLC is located at 327 W Main St, Thomaston, GA 30286. The listed phone number is (404) 621-4535.

What is Csa Psychiatric Healing Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Csa Psychiatric Healing Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2331018) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Csa Psychiatric Healing Center LLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.