# ELEANOR HEALTH PROFESSIONAL LA, LLC

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

## Provider details

- **NPI number:** 1265050736
- **Authorized official:** NZINGA AJABU HARRISON MD (CHIEF MEDICAL OFFICER & OWNER)
- **Authorized official phone:** (781) 230-6838

## Contact information

- **Practice address:** 913 S COLLEGE RD STE 204A, LAFAYETTE, LA 70503-3062
- **Practice address phone:** (504) 226-8768
- **Mailing address:** PO BOX 386, PORTSMOUTH, NH 03802-0386
- **Mailing address phone:** (866) 853-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 08/04/2026