Organization
ELEVEN : ELEVEN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEFLER LCSW-C (PSYCHOTHERAPIST/OWNER)
(240) 210-3169
Entity
Organization
Contact information
Practice address
2107 SHIRE CT, FALLSTON, MD 21047-1550
(240) 210-3169
Mailing address
2107 SHIRE CT, FALLSTON, MD 21047-1550
(240) 210-3169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609116862
PRIVATE INSURANCE
MD
Enumeration date
01/11/2022
Last updated
05/15/2022
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