Provider Demographics
NPI:1205436003
Name:SESSOMS THERAPEUTIC COUNSELING AND CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:SESSOMS THERAPEUTIC COUNSELING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHONDA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:SESSOMS
Authorized Official - Suffix:
Authorized Official - Credentials:NCSC, DPC, LPC, NCC
Authorized Official - Phone:601-622-1274
Mailing Address - Street 1:PO BOX 2681
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39207-2681
Mailing Address - Country:US
Mailing Address - Phone:601-622-1274
Mailing Address - Fax:
Practice Address - Street 1:232 MARKET ST OFC 230
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-3339
Practice Address - Country:US
Practice Address - Phone:601-914-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)