Provider Demographics
NPI:1528191327
Name:EICH, EUGENIA GRAVES
Entity Type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:GRAVES
Last Name:EICH
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:EICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, MA,NCC
Mailing Address - Street 1:120 LIMERICK CT
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-4105
Mailing Address - Country:US
Mailing Address - Phone:256-446-8561
Mailing Address - Fax:
Practice Address - Street 1:120 LIMERICK CT
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-4105
Practice Address - Country:US
Practice Address - Phone:256-446-8561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health