Healthcare Provider Details

I. General information

NPI: 1972167955
Provider Name (Legal Business Name): JOYLEENA ROBERTS WATSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOYLEENA ROBERTS LPC

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 GRANVILLE CT
SANDY SPRINGS GA
30328-3434
US

IV. Provider business mailing address

3423 PIEDMONT RD NE
ATLANTA GA
30305-1751
US

V. Phone/Fax

Practice location:
  • Phone: 770-383-1261
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC011791
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: