| Eleven 11 Therapy Llc | |
|
641 Christopher Ln Burleson TX 76028-1330 | |
| (972) 997-1573 | |
| (972) 848-1733 |
| Full Name | Eleven 11 Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 641 Christopher Ln, Burleson, Texas |
| Authorized Official Name and Position | Piper Kiser (OWNER) |
| Authorized Official Contact | 9729971573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleven 11 Therapy Llc 641 Christopher Ln Burleson TX 76028-1330 Ph: (972) 997-1573 | Eleven 11 Therapy Llc 641 Christopher Ln Burleson TX 76028-1330 Ph: (972) 997-1573 |
| NPI Number | 1346942463 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346942463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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