| Eleanor Health Professional Wa, Pllc | |
|
4310 Colby Ave Ste 201 Everett WA 98203-2338 | |
| (866) 323-2596 | |
| Not Available |
| Full Name | Eleanor Health Professional Wa, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4310 Colby Ave Ste 201, Everett, Washington |
| Authorized Official Name and Position | Nzinga Ajabu Harrison (OWNER) |
| Authorized Official Contact | 7812306838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Health Professional Wa, Pllc Po Box 386 Portsmouth NH 03802-0386 Ph: () - | Eleanor Health Professional Wa, Pllc 4310 Colby Ave Ste 201 Everett WA 98203-2338 Ph: (866) 323-2596 |
| NPI Number | 1043827132 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 2365855210 |
|---|---|
| Medicare Enrollment ID | O20210113002320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043827132 | NPI | - | NPPES |
| Provider Name | Joseph Walter Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639110281 PECOS PAC ID: 1153342928 Enrollment ID: I20051208000798 |
| Provider Name | Suzanne Renee Kenedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578086559 PECOS PAC ID: 1456624113 Enrollment ID: I20170925001218 |
| Provider Name | Christine D Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932344199 PECOS PAC ID: 0547431348 Enrollment ID: I20171130002178 |
| Provider Name | Kenneth Britt Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790270296 PECOS PAC ID: 6901153030 Enrollment ID: I20180720001646 |
| Provider Name | Ellen Sundstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962688788 PECOS PAC ID: 8022189430 Enrollment ID: I20181115002607 |
| Provider Name | Audrey Cavins-ezell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154899805 PECOS PAC ID: 3971848839 Enrollment ID: I20200303002665 |
| Provider Name | Shicara Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144782095 PECOS PAC ID: 6901131192 Enrollment ID: I20200610001651 |
| Provider Name | Nzinga Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20210223000886 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20210507002198 |
| Provider Name | Lindsay Larris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750647038 PECOS PAC ID: 0042430647 Enrollment ID: I20210518000014 |
| Provider Name | Jalessa Shanice Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013447960 PECOS PAC ID: 3870909419 Enrollment ID: I20210610002523 |
| Provider Name | Susan Poznyansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205257045 PECOS PAC ID: 8426448663 Enrollment ID: I20211202001888 |
| Provider Name | Claire Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902056641 PECOS PAC ID: 5092854331 Enrollment ID: I20220127000748 |
| Provider Name | Rewa A Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595416 PECOS PAC ID: 2264729953 Enrollment ID: I20220519001227 |
| Provider Name | Holly Bard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265054076 PECOS PAC ID: 4688086218 Enrollment ID: I20220907003115 |
| Provider Name | Richelle Van Buren-walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871898437 PECOS PAC ID: 6507127784 Enrollment ID: I20221018002241 |
| Provider Name | Amber Snelson Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437637048 PECOS PAC ID: 8628426756 Enrollment ID: I20231129002019 |
| Provider Name | Misty Leigh Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164190799 PECOS PAC ID: 0345621991 Enrollment ID: I20231201002686 |
| Provider Name | Juliane P Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437635612 PECOS PAC ID: 1456742212 Enrollment ID: I20240413000410 |
| Provider Name | Stephen Patrick Flansbaum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104220987 PECOS PAC ID: 8426594011 Enrollment ID: I20240718004081 |
| Provider Name | Ebika Eyong Mbuagbaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194335240 PECOS PAC ID: 7315322757 Enrollment ID: I20240724001320 |
| Provider Name | Evelyn Carini Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508546383 PECOS PAC ID: 3971966359 Enrollment ID: I20240808000002 |
| Provider Name | Marisa Pamela Savic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875875 PECOS PAC ID: 4183036379 Enrollment ID: I20240808003839 |
| Provider Name | Choomia Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559638 PECOS PAC ID: 1759789340 Enrollment ID: I20240820003068 |
| Provider Name | Virmarie Diaz Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306248075 PECOS PAC ID: 8628499506 Enrollment ID: I20240904004285 |
| Provider Name | David Scott Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492125 PECOS PAC ID: 1951710979 Enrollment ID: I20240911002696 |
| Provider Name | Kristy Romanowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518381714 PECOS PAC ID: 0446697304 Enrollment ID: I20241021001390 |
| Provider Name | Tierra Kathryn Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720523616 PECOS PAC ID: 8022541390 Enrollment ID: I20241024002400 |
| Provider Name | Paulo Juan Verdeflor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831537372 PECOS PAC ID: 5294155180 Enrollment ID: I20241028002916 |
| Provider Name | Kristin Anna Caccavale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235715921 PECOS PAC ID: 5496124679 Enrollment ID: I20241106003400 |
| Provider Name | Anisha Gosain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932608155 PECOS PAC ID: 5991104887 Enrollment ID: I20250205002533 |
| Provider Name | Paula Weisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013542984 PECOS PAC ID: 8729408000 Enrollment ID: I20250211001579 |
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Providence Health & Services-wa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 Fax: 425-261-4051 | |
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Maio Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Rucker Ave, Suite 203, Everett, WA 98201 Phone: 425-484-9832 |