Provider Demographics
NPI:1124464276
Name:ECKHART COUNSELING, PLLC
Entity type:Organization
Organization Name:ECKHART COUNSELING, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RESA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ECKHART
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:515-724-2241
Mailing Address - Street 1:3408 WOODLAND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6504
Mailing Address - Country:US
Mailing Address - Phone:515-225-2015
Mailing Address - Fax:
Practice Address - Street 1:3408 WOODLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6504
Practice Address - Country:US
Practice Address - Phone:515-225-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty