NPI 1336014000 · live from the CMS NPI Registry
Eleanor Health Professional
Psychiatry & Neurology, Addiction Psychiatry in Williston, VT. National Provider Identifier 1336014000, active.
NPI record
| NPI | 1336014000 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Addiction Psychiatry 2084P0802X |
| Practice location | 300 Interstate Corporate Ctr Ofc 319, Williston, VT 05495 |
| Practice phone | 781-487-1107 |
| Mailing address | Po Box 386, Portsmouth, NH 03802 |
| Enumerated | October 10, 2025 |
| Last updated | October 10, 2025 |
| Authorized official | Nzinga Harrison, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Family Medicine, Addiction Medicine | 207QA0401X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Psychiatry & Neurology, Addiction Psychiatry primary | 2084P0802X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.