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ELEANOR HEALTH PROFESSIONAL TX PLLC NPI 1932854981


NPI Information

NPI: 1932854981
Provider Name: ELEANOR HEALTH PROFESSIONAL TX, PLLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 45D2256328

Address:
8500 VILLAGE DR STE 101
SAN ANTONIO, TX
ZIP 78217
Phone: (726) 201-3047
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ELEANOR HEALTH PROFESSIONAL TX, PLLC is an addiction medicine psychiatry neurology in San Antonio, TX. 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 TX, PLLC NPI is 1932854981. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8500 VILLAGE DR STE 101
SAN ANTONIO, TX
ZIP 78217-510
Phone: (726) 201-3047
Fax: (833) 629-0318

The provider's authorized official is Sade Renee Keith .
The authorized official title is Lead Credentialing Specialist and has the following contact phone number (919) 366-8743.

The CLIA number assigned to this NPI record is 45D2256328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 2/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2207Q00000XFamily MedicineNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
42084A0401XPsychiatry & 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: 4/28/2024

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