Healthcare Provider Details

I. General information

NPI: 1720641681
Provider Name (Legal Business Name): JOYCELYN DELAYN ANDERSON EDS, LPC-S, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 HIGHGARDEN DR
NAVASOTA TX
77868-2515
US

IV. Provider business mailing address

1202 HIGHGARDEN DR
NAVASOTA TX
77868-2515
US

V. Phone/Fax

Practice location:
  • Phone: 469-870-1737
  • Fax:
Mailing address:
  • Phone: 469-870-1737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number71182
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: