ELEANOR HEALTH PROFESSIONAL WA PLLC NPI 1043827132

NPI Information

ELEANOR HEALTH PROFESSIONAL WA, PLLC is an addiction medicine psychiatry neurology in Everett, WA. 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 WA, PLLC NPI is 1043827132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4310 COLBY AVE STE 201
EVERETT, WA
ZIP 98203-338
Phone: (866) 323-2596

The provider's authorized official is Nzinga Ajabu Harrison .
The authorized official title is Owner and has the following contact phone number (617) 419-0858.

The CLIA number assigned to this NPI record is 50D2205059 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2020 and was last updated on 1/14/2021.

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:

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