MEDICARE: ELEANOR HEALTH PROFESSIONAL OH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207QA0401X	Addiction Medicine (Family Medicine) Physician
2	2084P0802X	Addiction Psychiatry Physician
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1730782475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEANOR HEALTH PROFESSIONAL OH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 386
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03802-0386
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	789 WHITE POND DR STE C
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-4203
Country	:	US
Telephone Number	:	330-355-3153
Fax Number	:	833-629-0813

Authorized Official
Title or Position	:	OWNER & CHIEF MEDICAL OFFICER
Name	:	NZINGA HARRISON
Credential	:	MD
Telephone Number	:	781-230-6838

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	04/09/2026

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