Active NPIOrganization

Eleanor Health Professional Tx, PLLC

Family Medicine, Addiction Medicine in Boise, Idaho

NPI Number1376334680
Practice location
950 W Bannock St Ste 1100, Boise, ID 83702-6140
Fax
—
Last updated
July 22, 2025

Eleanor Health Professional Tx, PLLC is a healthcare organization based in Boise, ID. Eleanor Health Professional Tx, PLLC practices in Boise, ID. The NPI Number for Eleanor Health Professional Tx, PLLC is 1376334680. The current practice location address for Eleanor Health Professional Tx, PLLC is 950 W Bannock St Ste 1100, Boise, ID 83702-6140 and can be reached out via phone at 781-487-1107.

Provider Profile Details

NPI Number
1376334680
Provider Name
Eleanor Health Professional Tx, PLLC
Provider Entity Type
Organization
Address
950 W Bannock St Ste 1100, Boise, ID 83702-6140
Phone Number
781-487-1107
Primary Taxonomy
Family Medicine, Addiction Medicine · 207QA0401X
Organization Subpart
No
Authorized Official
Nzinga Ajabu Harrison · Owner · 617-419-0858
Provider Enumeration Date
May 15, 2025
Last Update Date
July 22, 2025
Certification Date
July 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 W Bannock St Ste 1100
Boise, ID 83702-6140
City
Boise
State
Idaho
Zip
83702-6140
Phone Number
781-487-1107
Boise, ID 83702Get directions →

Provider Business Mailing Address Details

Address
Po Box 386
Portsmouth, NH 03802-0386
City
Portsmouth
State
NH
Zip
03802-0386
Phone Number
781-487-1107

License Information

Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
Taxonomy (4)
Family Medicine, Addiction Medicine · 207QA0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eleanor Health Professional Tx, PLLC?

The NPI number of Eleanor Health Professional Tx, PLLC is 1376334680. It was assigned on May 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Eleanor Health Professional Tx, PLLC?

Eleanor Health Professional Tx, PLLC is registered under the primary taxonomy Family Medicine, Addiction Medicine (code 207QA0401X).

Where does Eleanor Health Professional Tx, PLLC practice?

The practice location is 950 W Bannock St Ste 1100, Boise, ID 83702-6140. The office can be reached at 781-487-1107 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376334680 directly on the NPPES registry website.

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