MEDICARE: AALIYAH EICHELBERGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YP1600X	Pastoral Counselor	SC
2	101YM0800X	Mental Health Counselor	SC
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	SC

General Provider Information

NPI Number	:	1215899216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AALIYAH EICHELBERGER

Provider Business Mailing Address
First Line	:	3 DARROWBY WAY
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-8023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 DARROWBY WAY
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-8023
Country	:	US
Telephone Number	:	864-432-4725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2025
Last Update Date	:	12/01/2025

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Directions to “ AALIYAH EICHELBERGER ” Practice Location

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