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ELEANOR HEALTH PROFESSIONAL FL PLLC NPI 1144940735


NPI Information

NPI: 1144940735
Provider Name: ELEANOR HEALTH PROFESSIONAL FL PLLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
221 CRESCENT ST STE 202
WALTHAM, MA
ZIP 02453
Phone: (919) 765-8744
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ELEANOR HEALTH PROFESSIONAL FL PLLC is an addiction medicine psychiatry neurology in Waltham, MA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ELEANOR HEALTH PROFESSIONAL FL PLLC NPI is 1144940735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

221 CRESCENT ST STE 202
WALTHAM, MA
ZIP 02453-425
Phone: (919) 765-8744

The provider's authorized official is Nzginga Harrison .
The authorized official title is Co-founder and has the following contact phone number (617) 419-0858.

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
32084A0401XPsychiatry & NeurologyAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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