MEDICARE: ESSIE ERIEL CONNOR LPC-R, LGPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0704016936	VA
2	101YM0800X	Mental Health Counselor	LGP17681	MD

General Provider Information

NPI Number	:	1275477960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESSIE ERIEL CONNOR LPC-R, LGPC

Provider Business Mailing Address
First Line	:	8730 GEORGIA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	202-753-5085
Fax Number	:

Provider Business Practice Location Address
First Line	:	8730 GEORGIA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	202-753-5085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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