Provider Demographics
NPI:1326499385
Name:EICKMAN, WILLIAM (MA, LPC, NBCC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:EICKMAN
Suffix:
Gender:M
Credentials:MA, LPC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8835 LACKMAN RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1901
Mailing Address - Country:US
Mailing Address - Phone:913-361-2000
Mailing Address - Fax:
Practice Address - Street 1:8835 LACKMAN RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1901
Practice Address - Country:US
Practice Address - Phone:913-361-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04403101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor