Provider Demographics
NPI:1548059108
Name:DENSON, SYLVIA (PHD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:DENSON
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:DENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2375 WALL ST SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-6702
Mailing Address - Country:US
Mailing Address - Phone:770-679-0586
Mailing Address - Fax:
Practice Address - Street 1:2375 WALL ST SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-6702
Practice Address - Country:US
Practice Address - Phone:770-679-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health