Organization · Type 2 NPI

Operation Street Harvest, Inc. dba Ga Black Licensed Assoc. Counselors

Mental Health Counselor · Decatur, GA

NPI number 1972361269 Active

Practice location

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

Call (678) 978-9391 Map

Fax (770) 538-1716

Mailing address

3982 Misty Lk
Ellenwood, GA 30294-1164

Other practice locations

  • 1 W Court Sq Ste 750, Decatur, GA 30030-2538 · (678) 978-9391
  • 4153 Flat Shoals Pkwy Bldg C, Decatur, GA 30034-4106 · (678) 978-9391
  • Town Park Center, Ste. 300, Office 78, Kennesaw, GA 30144 · (678) 978-9391

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972361269

Operation Street Harvest, Inc. dba Ga Black Licensed Assoc. Counselors's National Provider Identifier is 1972361269, issued on Mar 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Mar 28, 2024.