| Doctor Name: | MS. MORIAH ELIZABETH EICKHOFF |
| NPI Number: | 1841489598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHP, CPC, PLADC |
| License Number: | 816 |
| Business Practice Address: | 2 N Spruce St # G Ogallala, NE - 691532549 |
| Business Phone Number: | 3086603949 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2167, NORTH PLATTE |
| State: | NE |
| Postal Code: | 691032167 |
| Phone Number: | 3086603949 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2007 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 816 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |