Organization
ELEANOR HEALTH PROFESSIONAL TX, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NZINGA AJABU HARRISON MD (FOUNDER/OWNER)
(617) 419-0858
Entity
Organization
Contact information
Practice address
150 WASHINGTON AVE STE 201, SANTA FE, NM 87501-2038
(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
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/11/2025
Last updated
07/16/2025
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