Provider Demographics
NPI:1669260881
Name:EICHELBERGER, CARLA ROCHELLE (LPC)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:ROCHELLE
Last Name:EICHELBERGER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 N CASS ST # 480
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3374
Mailing Address - Country:US
Mailing Address - Phone:414-630-2732
Mailing Address - Fax:
Practice Address - Street 1:1007 N CASS ST # 480
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-3374
Practice Address - Country:US
Practice Address - Phone:414-630-2732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7580--125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health