| 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 L Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134569478 PECOS PAC ID: 7113169244 Enrollment ID: I20130820000257 |
| Provider Name | Hiedi L Konsol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568706471 PECOS PAC ID: 1456676675 Enrollment ID: I20150211000650 |
| Provider Name | Rewa Annjanette Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595416 PECOS PAC ID: 2264729953 Enrollment ID: I20160923000513 |
| 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 | Nzinga Ajabu Harrison |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20210323002677 |
| Provider Name | Jalessa Jones |
|---|---|
| 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 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 Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225768724 PECOS PAC ID: 7517330970 Enrollment ID: I20240503000285 |
| Provider Name | Andrew W Runkle |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1134211881 PECOS PAC ID: 2769468271 Enrollment ID: I20240529001122 |
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