Basic Information
| Provider Information | |||||||||
| NPI: | 1891043618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EICHHORN | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 181 RIVER WALK TRL | ||||||||
| Address2: | |||||||||
| City: | NEW MARKET | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357617673 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2566832326 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4800 WHITESPORT CIR SW | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358016444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565339393 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2012 | ||||||||
| LastUpdateDate: | 08/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 3060 | AL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.