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Organization

ELEANOR HEALTH PROFESSIONAL TX, PLLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
6044 S 16TH ST, SUITE 180, OFFICE NO. 123, PHOENIX, AZ 85042
(781) 487-1107
Mailing address
PO BOX 386, PORTSMOUTH, NH 03802-0386
(781) 487-1107

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
12/16/2025
Last updated
12/16/2025
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