| Essential Outcomes, LLC | |
|
2138 Priest Bridge Ct Ste 1 Crofton MD 21114-2463 | |
| (443) 274-6000 | |
| Not Available |
| Full Name | Essential Outcomes, LLC |
|---|---|
| Speciality | Psychologist |
| Location | 2138 Priest Bridge Ct Ste 1, Crofton, Maryland |
| Authorized Official Name and Position | Clifford Eugene Sheppard (CO-OWNER) |
| Authorized Official Contact | 4435846773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Outcomes, LLC 1123 State Route 3 N # 300 Gambrills MD 21054-1715 Ph: (443) 584-6773 | Essential Outcomes, LLC 2138 Priest Bridge Ct Ste 1 Crofton MD 21114-2463 Ph: (443) 274-6000 |
| NPI Number | 1083285928 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083285928 | NPI | - | NPPES |
| 317165500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 103T00000X | Psychologist | (NU) | Primary |
| 103TC1900X | Psychologist - Counseling | (NU) | Secondary |
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