Provider Demographics
NPI:1871245548
Name:ROYES, SYDNEY (LCSW)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:ROYES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 CHEROKEE AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-2003
Mailing Address - Country:US
Mailing Address - Phone:770-363-8846
Mailing Address - Fax:
Practice Address - Street 1:985 CHEROKEE AVE SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-2003
Practice Address - Country:US
Practice Address - Phone:770-363-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0078711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical