Healthcare Provider Details

I. General information

NPI: 1730017260
Provider Name (Legal Business Name): LAYERED JOURNEYS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 20TH ST
VERO BEACH FL
32960-0660
US

IV. Provider business mailing address

1651 20TH ST
VERO BEACH FL
32960-0660
US

V. Phone/Fax

Practice location:
  • Phone: 772-217-5378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: FEDNA ELIASSAINT
Title or Position: PRACTITIONER
Credential: LCSW
Phone: 772-801-4905