| Eleven : Eleven Wellness, Llc | |
|
2107 Shire Ct Fallston MD 21047-1550 | |
| (240) 210-3169 | |
| Not Available |
| Full Name | Eleven : Eleven Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2107 Shire Ct, Fallston, Maryland |
| Authorized Official Name and Position | Jessica Lefler (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2402103169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleven : Eleven Wellness, Llc 2107 Shire Ct Fallston MD 21047-1550 Ph: (240) 210-3169 | Eleven : Eleven Wellness, Llc 2107 Shire Ct Fallston MD 21047-1550 Ph: (240) 210-3169 |
| NPI Number | 1518618552 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 05/15/2022 |
| Certification Date | 05/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518618552 | NPI | - | NPPES |
| 1609116862 | Other | MD | PRIVATE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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