| Eleanor Health Professional Oh, Llc | |
|
789 White Pond Dr Ste C Akron OH 44320-4203 | |
| (330) 355-3153 | |
| (833) 629-0813 |
| Full Name | Eleanor Health Professional Oh, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 789 White Pond Dr Ste C, Akron, Ohio |
| Authorized Official Name and Position | Nzinga Harrison (OWNER & CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6174190858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Health Professional Oh, Llc 221 Crescent St Ste 202 Waltham MA 02453-3425 Ph: (919) 765-8744 | Eleanor Health Professional Oh, Llc 789 White Pond Dr Ste C Akron OH 44320-4203 Ph: (330) 355-3153 |
| NPI Number | 1730782475 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Medicare PECOS PAC ID | 7618384447 |
|---|---|
| Medicare Enrollment ID | O20210323002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730782475 | NPI | - | NPPES |
| Provider Name | Julie M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803419 PECOS PAC ID: 1557512266 Enrollment ID: I20121106000188 |
| Provider Name | Tamara Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134569478 PECOS PAC ID: 7113169244 Enrollment ID: I20130820000257 |
| Provider Name | Hiedi Konsol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568706471 PECOS PAC ID: 1456676675 Enrollment ID: I20150211000650 |
| Provider Name | Rewa Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595416 PECOS PAC ID: 2264729953 Enrollment ID: I20160923000513 |
| Provider Name | Kathryne Volpe-bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255872974 PECOS PAC ID: 6507131950 Enrollment ID: I20171011000353 |
| Provider Name | Odette C Tiomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578380 PECOS PAC ID: 9335465541 Enrollment ID: I20180405001397 |
| Provider Name | Elizabeth Reigner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093997231 PECOS PAC ID: 8729301809 Enrollment ID: I20180914002502 |
| Provider Name | Kevin James Kuisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770064461 PECOS PAC ID: 6709138621 Enrollment ID: I20181004000111 |
| Provider Name | Brad Allen Olson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1225032147 PECOS PAC ID: 6002243615 Enrollment ID: I20200220001364 |
| Provider Name | Leah Kathleen Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669096962 PECOS PAC ID: 0446673222 Enrollment ID: I20200915002751 |
| Provider Name | Nzinga Ajabu Harrison |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20210323002677 |
| Provider Name | Jalessa Shanice Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013447960 PECOS PAC ID: 3870909419 Enrollment ID: I20210326000957 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20210412002244 |
| Provider Name | Paula Vanessa B De La Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114088697 PECOS PAC ID: 3678541315 Enrollment ID: I20211015001639 |
| Provider Name | Na'sha Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326710823 PECOS PAC ID: 0143619932 Enrollment ID: I20211117000809 |
| Provider Name | April J Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396180774 PECOS PAC ID: 3072893882 Enrollment ID: I20221229002297 |
| Provider Name | Angela Michelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881817617 PECOS PAC ID: 2365800406 Enrollment ID: I20230621002385 |
| Provider Name | Ashley Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437644796 PECOS PAC ID: 0749528347 Enrollment ID: I20231120000420 |
| Provider Name | Brianne Faye Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225768724 PECOS PAC ID: 7517330970 Enrollment ID: I20240503000285 |
| Provider Name | Andrew William Runkle |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1134211881 PECOS PAC ID: 2769468271 Enrollment ID: I20240529001122 |
| Provider Name | Colleen Hannush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669648515 PECOS PAC ID: 2163561069 Enrollment ID: I20240819002905 |
| Provider Name | Monique Pierre Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588184220 PECOS PAC ID: 6507130341 Enrollment ID: I20240912003966 |
| Provider Name | Alexia Davida Montague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962929679 PECOS PAC ID: 6800236530 Enrollment ID: I20240924003309 |
| Provider Name | Crystal Ann Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811463797 PECOS PAC ID: 3072924463 Enrollment ID: I20240926000523 |
| Provider Name | Bret Damon Kirson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861700676 PECOS PAC ID: 8921341280 Enrollment ID: I20241004000440 |
| Provider Name | Virmarie Diaz Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306248075 PECOS PAC ID: 8628499506 Enrollment ID: I20241008001908 |
| Provider Name | Amanda Culp Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558592709 PECOS PAC ID: 5496801052 Enrollment ID: I20241028000697 |
| Provider Name | Scherrica Holli Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043987431 PECOS PAC ID: 4981142569 Enrollment ID: I20241121003157 |
Pecola Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 W Market St Ste 14, Akron, OH 44313 Phone: 234-678-7043 | |
Fields Psychological Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 721 Wall St, Akron, OH 44310 Phone: 330-671-8008 Fax: 234-678-4871 | |
Step Ahead Aba Oh Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2390 Wedgewood Dr Unit 6250, Akron, OH 44312 Phone: 888-238-1818 Fax: 855-915-1521 | |
Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Cross St, Akron, OH 44311 Phone: 330-996-9141 Fax: 330-253-0377 | |