Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1:11 Therapeutics PLLC

Organization Psychiatry Physician · NPI 1992652283

1:11 Therapeutics PLLC is a Psychiatry Physician in Seattle, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7500 Banner Way NE
Seattle, WA 98115-4176
Phone: (818) 515-7991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1992652283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Smith — Ceo · (818) 515-7991
NPI enumeratedMarch 14, 2026
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026
Mailing address507 Brompton Ln, Bossier City, LA 71111-8208

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