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ELEANOR HEALTH PROFESSIONAL NC PLLC NPI 1639718406


NPI Information

NPI: 1639718406
Provider Name: ELEANOR HEALTH PROFESSIONAL NC, PLLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 34D2174481

Address:
3711 UNIVERSITY DR STE B
DURHAM, NC
ZIP 27707
Phone: (919) 646-5587
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ELEANOR HEALTH PROFESSIONAL NC, PLLC is a psychiatry psychiatry neurology in Durham, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ELEANOR HEALTH PROFESSIONAL NC, PLLC NPI is 1639718406. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3711 UNIVERSITY DR STE B
DURHAM, NC
ZIP 27707-654
Phone: (919) 646-5587

The provider's authorized official is Christina Joy Vanregenmorter .
The authorized official title is Sr. Director National Clinical Oper and has the following contact phone number (615) 934-4589.

The CLIA number assigned to this NPI record is 34D2174481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2019 and was last updated on 12/27/2019.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryYes
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
42083A0300XPreventive MedicineAddiction MedicineNo

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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