Provider Demographics
NPI:1780112268
Name:SESSOMS, SHONDA MONIQUE (LPC)
Entity type:Individual
Prefix:DR
First Name:SHONDA
Middle Name:MONIQUE
Last Name:SESSOMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CANEBRAKE BLVD STE 110-14
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-2211
Mailing Address - Country:US
Mailing Address - Phone:769-268-1080
Mailing Address - Fax:601-510-9598
Practice Address - Street 1:10 CANEBRAKE BLVD STE 110-14
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-2211
Practice Address - Country:US
Practice Address - Phone:769-268-1080
Practice Address - Fax:601-510-9598
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-30
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10750-125101YM0800X
AZ22744101YM0800X
PAPC017516101YM0800X, 101YP2500X
MS1876101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional