Healthcare Provider Details

I. General information

NPI: 1982516399
Provider Name (Legal Business Name): LEMIYAH SESSUM RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8090 WALNUT RUN RD
CORDOVA TN
38018-6362
US

IV. Provider business mailing address

2729 WILLOW REST DR
MEMPHIS TN
38133-5000
US

V. Phone/Fax

Practice location:
  • Phone: 901-509-8437
  • Fax:
Mailing address:
  • Phone: 901-293-5714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2847407
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: