Organization · Type 2 NPI
Eleanor Health Professional Tx, PLLC
Addiction Medicine (Family Medicine) Physician · Boise, ID
NPI number
1376334680
Active
Practice location
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Mailing address
PO Box 386
Portsmouth, NH 03802-0386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Addiction Psychiatry Physician | 2084P0802X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1376334680
Eleanor Health Professional Tx, PLLC's National Provider Identifier is 1376334680, issued on May 15, 2025. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Boise, ID. The record was last updated on Jul 22, 2025.