Provider Demographics
NPI:1497348189
Name:JANICE EICKHOLT-MARCH LMSW, CADC
Entity Type:Organization
Organization Name:JANICE EICKHOLT-MARCH LMSW, CADC
Other - Org Name:JANICE EICKHOLT-MARCH LMSW CADC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:EICKHOLT-MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CADC
Authorized Official - Phone:810-818-7584
Mailing Address - Street 1:19507 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:NEW LOTHROP
Mailing Address - State:MI
Mailing Address - Zip Code:48460-9630
Mailing Address - Country:US
Mailing Address - Phone:810-818-7584
Mailing Address - Fax:810-228-7586
Practice Address - Street 1:19507 BISHOP RD
Practice Address - Street 2:
Practice Address - City:NEW LOTHROP
Practice Address - State:MI
Practice Address - Zip Code:48460-9630
Practice Address - Country:US
Practice Address - Phone:810-818-7584
Practice Address - Fax:810-228-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty