| Sessoms Therapeutic Counseling And Consulting Services, Llc | |
|
232 Market St Ofc 230 Flowood MS 39232-3339 | |
| (601) 914-7200 | |
| Not Available |
| Full Name | Sessoms Therapeutic Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 232 Market St Ofc 230, Flowood, Mississippi |
| Authorized Official Name and Position | Shonda Monique Sessoms (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6016221274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sessoms Therapeutic Counseling And Consulting Services, Llc Po Box 2681 Jackson MS 39207-2681 Ph: (601) 622-1274 | Sessoms Therapeutic Counseling And Consulting Services, Llc 232 Market St Ofc 230 Flowood MS 39232-3339 Ph: (601) 914-7200 |
| NPI Number | 1205436003 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 8224478425 |
|---|---|
| Medicare Enrollment ID | O20240506001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205436003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shonda Monique Sessoms |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780112268 PECOS PAC ID: 9133569338 Enrollment ID: I20240521001327 |
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