Healthcare Provider Details

I. General information

NPI: 1659811032
Provider Name (Legal Business Name): ALYSSA MARIE EICHHORN MA, LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 03/02/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 GLENWAY AVE
CINCINNATI OH
45205-1354
US

IV. Provider business mailing address

2596 MADISON RD APT C8
CINCINNATI OH
45208-1131
US

V. Phone/Fax

Practice location:
  • Phone: 513-381-6300
  • Fax:
Mailing address:
  • Phone: 513-384-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901107
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: