ELEANOR HEALTH PROFESSIONAL LA, LLC (NPI# 1265050736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265050736 |
| Entity Type | Organization |
| Organization Name | ELEANOR HEALTH PROFESSIONAL LA, LLC |
| Practice Address |
3867 Plaza Tower Dr Baton Rouge LA 70816-4378 |
| Practice Telephone | 6159344589 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | NZINGA AJABU HARRISON (CHIEF MEDICAL OFFICER & OWNER) |
| Authorized Official Telephone | 6174190858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3867 PLAZA TOWER DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-4378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144725 | Upward Health of Louisiana LLC | Community/Behavioral Health | 3867 Plaza Tower Dr, Baton Rouge, LA 70816-4378 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| 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 |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831131499 | Chandra M Katta | Psychiatry & Neurology | 7414 Sumrall Dr, Suite C, Baton Rouge, LA 70812-1240 | 2006-06-11 |
| 1205804606 | Ronnie Vincent Taravella | Psychiatry & Neurology | 7777 Hennessy Blvd, Suite 302, Baton Rouge, LA 70808-4300 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225477235 | Angela K. Jubert | Psychiatry & Neurology | 5620 Read Blvd Fl 5, New Orleans, LA 70127-3106 | 2013-06-24 |
| 1619119567 | Nicholas Fluitt | Psychiatry & Neurology | 111 N Causeway Blvd Ste 222, Mandeville, LA 70448 | 2009-03-24 |
| 1699781591 | Brian D Monette | Psychiatry & Neurology | 1112 E Ascension Complex Ave., Gonzales, LA 70737 | 2006-07-31 |
| 1679501712 | Anwar Ismail | Psychiatry & Neurology | 4113 Williams Blvd., Kenner, LA 70065 | 2006-06-29 |
| 1730186750 | Alphonse Kenison Roy IIi | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2005-07-05 |
| 1477103240 | Anthony Micheal Peperone | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471-3310 | 2019-09-13 |
| 1730660176 | Epiphany Healthcare System, Inc | Psychiatry & Neurology | 906 C M Fagan Dr Bldg A, Suite 6a, Hammond, LA 70403 | 2018-08-23 |
| 1104280825 | Jerrell Mitchell | Psychiatry & Neurology | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2016-04-08 |
| 1790129617 | Narissa Etwaroo | Psychiatry & Neurology | 1501 Kings Hwy, Psychiatry, Shreveport, LA 71103 | 2013-04-22 |
| 1306020698 | Biobehavioral Medicine Company, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-12-21 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.