Healthcare Provider Details

I. General information

NPI: 1003657321
Provider Name (Legal Business Name): ESSENTIAL GUIDANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 SAINT PAUL ST 2ND FLOOR SUITE C
BALTIMORE MD
21202-2712
US

IV. Provider business mailing address

1826 PENNSYLVANIA AVE UNIT 12707
BALTIMORE MD
21217-7534
US

V. Phone/Fax

Practice location:
  • Phone: 443-500-1660
  • Fax:
Mailing address:
  • Phone: 443-500-1660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RAQUEL JOHNSON
Title or Position: PSYCHOTHERAPIST
Credential:
Phone: 443-500-1660