Provider Demographics
NPI:1841489598
Name:EICKHOFF, MORIAH ELIZABETH (LIMHP, CPC, LADC)
Entity type:Individual
Prefix:MS
First Name:MORIAH
Middle Name:ELIZABETH
Last Name:EICKHOFF
Suffix:
Gender:F
Credentials:LIMHP, CPC, LADC
Other - Prefix:
Other - First Name:MORIAH
Other - Middle Name:ELIZABETH
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LIMHP, CPC, LADC
Mailing Address - Street 1:809 S SILBER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6176
Mailing Address - Country:US
Mailing Address - Phone:308-221-6868
Mailing Address - Fax:308-221-6868
Practice Address - Street 1:809 S SILBER AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6176
Practice Address - Country:US
Practice Address - Phone:308-221-6868
Practice Address - Fax:308-221-6868
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE816101YA0400X
NE3623101YM0800X
NE1813101YP2500X
NE1017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional