Healthcare Provider Details

I. General information

NPI: 1336272004
Provider Name (Legal Business Name): MR. JOSHUA SESSION
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 RAINBOW DR 242 W SHAMROCK STREET
PINEVILLE LA
71360-6449
US

IV. Provider business mailing address

28 KENT AVE
ALEXANDRIA LA
71301-5607
US

V. Phone/Fax

Practice location:
  • Phone: 318-484-6469
  • Fax: 318-484-6228
Mailing address:
  • Phone: 318-561-4235
  • Fax: 318-484-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: