# ELEANOR HEALTH PROFESSIONAL TX, PLLC

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

## Provider details

- **NPI number:** 1205791845
- **Authorized official:** NZINGA AJABU HARRISON MD (OWNER/FOUNDER)
- **Authorized official phone:** (617) 419-0858

## Contact information

- **Practice address:** 250 E 200 S, SUITE 1600, OFFICE NO. 1535, SALT LAKE CITY, UT 84111
- **Practice address phone:** (781) 487-1107
- **Mailing address:** PO BOX 386, PORTSMOUTH, NH 03802-0386
- **Mailing address phone:** (781) 487-1107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 12/17/2025
- **Last updated:** 12/17/2025
