# ELEANOR HEALTH PROFESSIONAL NJ, LLC

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

## Provider details

- **NPI number:** 1790310738
- **Authorized official:** NZINGA AJABU HARRISON (OWNER)
- **Authorized official phone:** (781) 230-6838

## Contact information

- **Practice address:** 2250 CHAPEL AVE W STE 120, CHERRY HILL, NJ 08002-2051
- **Practice address phone:** (617) 419-0858
- **Mailing address:** PO BOX 386, PORTSMOUTH, NH 03802-0386

## 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:** 03/10/2020
- **Last updated:** 03/24/2025