# ELEVEN IN BLOOM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891625067
- **Authorized official:** ZENA CHASE LCMHC, QS, LCASA (CEO/DIRECTOR)
- **Authorized official phone:** (919) 864-5817

## Contact information

- **Practice address:** 5000 LONG PIER LANE, RALEIGH, NC 27610
- **Practice address phone:** (919) 864-5817
- **Mailing address:** 3064 WAKE FOREST RD \# 1368, RALEIGH, NC 27609-7844
- **Mailing address phone:** (919) 864-5817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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