Provider Demographics
NPI:1043860182
Name:SESSIONS, OLIVIA (MA, LPCA)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SESSIONS
Suffix:
Gender:F
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 POLK FORD RD
Mailing Address - Street 2:
Mailing Address - City:STANFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:28163-8674
Mailing Address - Country:US
Mailing Address - Phone:828-380-0016
Mailing Address - Fax:
Practice Address - Street 1:124 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-3000
Practice Address - Country:US
Practice Address - Phone:704-931-8371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14891101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health