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Organization

ELEANOR HEALTH PROFESSIONAL TX, PLLC

Active
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Organization

ELEANOR HEALTH PROFESSIONAL TX, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NZINGA AJABU HARRISON (FOUNDER/OWNER)
(617) 419-0858
Entity
Organization

Contact information

Practice address
555 SE MARTIN LUTHER KING BLVD UNIT 105, PORTLAND, OR 97214-2595
(781) 487-1107
Mailing address
PO BOX 386, PORTSMOUTH, NH 03802-0386

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
207QA0401X
Addiction Medicine (Family Medicine) Physician
2084P0800X
Psychiatry Physician
2084P0802X
Addiction Psychiatry Physician
Primary

Other

Enumeration date
10/28/2025
Last updated
10/28/2025
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