Organization
ELEANOR HEALTH PROFESSIONAL LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NZINGA AJABU HARRISON MD (CHIEF MEDICAL OFFICER & OWNER)
(781) 230-6838
Entity
Organization
Contact information
Practice address
3901 HOUMA BLVD STE 404, METAIRIE, LA 70006-2930
(504) 910-7685
Mailing address
PO BOX 386, PORTSMOUTH, NH 03802-0386
(866) 853-6162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
07/10/2020
Last updated
03/24/2025
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