MEDICARE: ELEANOR HEALTH PROFESSIONAL TX, 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	2084P0800X	Psychiatry Physician
4	2084P0802X	Addiction Psychiatry Physician

General Provider Information

NPI Number	:	1891583480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEANOR HEALTH PROFESSIONAL TX, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 386
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03802-0386
Country	:	US
Telephone Number	:	781-487-1052
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 BROADWAY OFC 1722
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-6000
Country	:	US
Telephone Number	:	781-487-1107
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	NZINGA AJABU HARRISON
Credential	:	MD
Telephone Number	:	617-419-0858

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	07/23/2025

Similar Medicare Providers

1508719725 — LESLIE ALARID-VALDEZ
Practice Location Address:

1560 BROADWAY STE 1660
DENVER, CO
80202-6000

Practice Phone: 626-339-4999
Practice Fax:

1669950408 — JENNIFER N SPRINKLE LPC
Practice Location Address:

1560 BROADWAY
DENVER, CO
80202-6000

Practice Phone: 232-057-0883
Practice Fax: 833-419-0181

1407627979 — CINDY SUZANNE BRUNI MS
Practice Location Address:

1560 BROADWAY
DENVER, CO
80202-6000

Practice Phone: 623-363-6103
Practice Fax:

1609695139 — STEPHANIE LYNN PERRI LPC
Practice Location Address:

1560 BROADWAY FL 16
DENVER, CO
80202-6000

Practice Phone: 719-569-1711
Practice Fax:

1730061961 — PROMED PREFERRED CO 2, PLLC
Practice Location Address:

1560 BROADWAY UNIT 1791
DENVER, CO
80202-6000

Practice Phone: 615-499-3165
Practice Fax:

1114800356 — KIDS CLUB ABA CO
Practice Location Address:

1560 BROADWAY FL 16
DENVER, CO
80202-6000

Practice Phone: 404-458-0809
Practice Fax: 404-834-5607

Directions to “ELEANOR HEALTH PROFESSIONAL TX, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.