MEDICARE: ELEANOR HEALTH PROFESSIONAL NC, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	207QA0401X	Addiction Medicine (Family Medicine) Physician
3	2083A0300X	Addiction Medicine (Preventive Medicine) Physician
4	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
5	2084P0802X	Addiction Psychiatry Physician
6	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1891349155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEANOR HEALTH PROFESSIONAL NC, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 386
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03802-0386
Country	:	US
Telephone Number	:	704-799-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 4TH ST SW STE 202
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-2872
Country	:	US
Telephone Number	:	828-979-0045
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NZINGA A HARRISON
Credential	:
Telephone Number	:	781-230-6838

Provider Enumeration Date	:	07/25/2019
Last Update Date	:	03/24/2025

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