Organization · Type 2 NPI

Eleven In Bloom

Mental Health Counselor · Raleigh, NC

NPI number 1891625067 Active

Practice location

5000 Long Pier Lane
Raleigh, NC 27610

Call (919) 864-5817 Map

Mailing address

3064 Wake Forest Rd # 1368
Raleigh, NC 27609-7844

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed

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About NPI 1891625067

Eleven In Bloom's National Provider Identifier is 1891625067, issued on May 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on May 22, 2026.