Provider Demographics
NPI:1124288279
Name:EICHMAN, HEATHER N (LSCSW, LMAC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:EICHMAN
Suffix:
Gender:F
Credentials:LSCSW, LMAC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:N
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW, LMAC
Mailing Address - Street 1:719 MASSACHUSETTS ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2345
Mailing Address - Country:US
Mailing Address - Phone:785-408-9650
Mailing Address - Fax:
Practice Address - Street 1:719 MASSACHUSETTS ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2345
Practice Address - Country:US
Practice Address - Phone:785-408-9650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS70761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical