Provider Demographics
NPI:1740739887
Name:THERAPEUTIC OUTCOMES, LLC
Entity Type:Organization
Organization Name:THERAPEUTIC OUTCOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-723-7703
Mailing Address - Street 1:17320 PANAMA CITY BEACH PKWY
Mailing Address - Street 2:UNIT 209
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-2024
Mailing Address - Country:US
Mailing Address - Phone:850-723-7703
Mailing Address - Fax:877-822-7339
Practice Address - Street 1:17320 PANAMA CITY BEACH PKWY
Practice Address - Street 2:UNIT 209
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-2024
Practice Address - Country:US
Practice Address - Phone:850-723-7703
Practice Address - Fax:877-822-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty