Provider Demographics
NPI:1013788009
Name:JENNIFER EICH COUNSELING LLC
Entity Type:Organization
Organization Name:JENNIFER EICH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:EICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-248-4101
Mailing Address - Street 1:344 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-8892
Mailing Address - Country:US
Mailing Address - Phone:859-248-4101
Mailing Address - Fax:877-583-4715
Practice Address - Street 1:210 N BROADWAY ST STE 1
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-2212
Practice Address - Country:US
Practice Address - Phone:859-248-4101
Practice Address - Fax:877-583-4715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)