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ELEANOR HEALTH PROFESSIONAL OH LLC NPI 1730782475


NPI Information

NPI: 1730782475
Provider Name: ELEANOR HEALTH PROFESSIONAL OH, LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 36D2211729

Address:
789 WHITE POND DR STE C
AKRON, OH
ZIP 44320
Phone: (330) 355-3153
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ELEANOR HEALTH PROFESSIONAL OH, LLC is an addiction medicine psychiatry neurology in Akron, OH. 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 OH, LLC NPI is 1730782475. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

789 WHITE POND DR STE C
AKRON, OH
ZIP 44320-203
Phone: (330) 355-3153
Fax: (833) 629-0813

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

The CLIA number assigned to this NPI record is 36D2211729 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 7/30/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207QA0401XFamily MedicineAddiction MedicineNo
32084A0401XPsychiatry & NeurologyAddiction MedicineYes
42084P0802XPsychiatry & NeurologyAddiction PsychiatryNo

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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