Provider Demographics
NPI:1972719730
Name:EIGSTI, FAYTHE PAULA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:FAYTHE
Middle Name:PAULA
Last Name:EIGSTI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-8457
Mailing Address - Country:US
Mailing Address - Phone:620-669-8801
Mailing Address - Fax:
Practice Address - Street 1:1602 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-4008
Practice Address - Country:US
Practice Address - Phone:620-662-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT693106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist