Healthcare Provider Details

I. General information

NPI: 1215527171
Provider Name (Legal Business Name): KATELYN SESSUMS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2021
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 COMMONWEALTH DR STE 200
CHARLOTTESVILLE VA
22901-1894
US

IV. Provider business mailing address

2566 PRIMROSE LN
TUPELO MS
38801-8140
US

V. Phone/Fax

Practice location:
  • Phone: 769-241-1066
  • Fax:
Mailing address:
  • Phone: 769-241-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133001877
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: