Organization
ESSENTIAL OUTCOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD EUGENE SHEPPARD (CO-OWNER)
(443) 584-6773
Entity
Organization
Contact information
Practice address
2138 PRIEST BRIDGE CT STE 1, CROFTON, MD 21114-2463
(443) 274-6000
Mailing address
1123 STATE ROUTE 3 N # 300, GAMBRILLS, MD 21054-1715
(443) 584-6773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317165500
—
MD
Enumeration date
07/01/2021
Last updated
01/11/2023
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