Healthcare Provider Details

I. General information

NPI: 1528794963
Provider Name (Legal Business Name): SESSIONS PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3016 E 4TH ST
SUPERIOR WI
54880-4020
US

IV. Provider business mailing address

521 S 59TH AVE W
DULUTH MN
55807-2168
US

V. Phone/Fax

Practice location:
  • Phone: 218-382-3622
  • Fax:
Mailing address:
  • Phone: 218-382-3622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERI JOHNSON
Title or Position: OWNER
Credential: LCSW
Phone: 218-391-3869