Healthcare Provider Details

I. General information

NPI: 1871250985
Provider Name (Legal Business Name): JOLANNA JENAE' WATSON-BROWN LCSW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18482 KUYKENDAHL RD UNIT 606
SPRING TX
77379-8123
US

IV. Provider business mailing address

20742 LA COTE CIR
SPRING TX
77388-5199
US

V. Phone/Fax

Practice location:
  • Phone: 832-416-5163
  • Fax:
Mailing address:
  • Phone: 832-593-3187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number58929
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: