Healthcare Provider Details

I. General information

NPI: 1407175961
Provider Name (Legal Business Name): SESSIONS OF SUCCESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 05/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 PETERS CREEK RD NW
ROANOKE VA
24017-4860
US

IV. Provider business mailing address

PO BOX 2012
SALEM VA
24153-0440
US

V. Phone/Fax

Practice location:
  • Phone: 540-537-9798
  • Fax: 540-389-7054
Mailing address:
  • Phone: 540-537-9798
  • Fax: 549-389-7054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. GLENDORA DALTON
Title or Position: DIRECTOR
Credential:
Phone: 540-588-2438