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Organization
ELEVEN IN BLOOM
Active
Organization
ELEVEN IN BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZENA CHASE LCMHC, QS, LCASA (CEO/DIRECTOR)
(919) 864-5817
Entity
Organization
Contact information
Practice address
5000 LONG PIER LANE, RALEIGH, NC 27610
(919) 864-5817
Mailing address
3064 WAKE FOREST RD # 1368, RALEIGH, NC 27609-7844
(919) 864-5817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/20/2026
Last updated
05/22/2026
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