Provider Demographics
NPI:1427107747
Name:KATZ, EILEEN R (MS, LMFT, LCMFT)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:R
Last Name:KATZ
Suffix:
Gender:F
Credentials:MS, LMFT, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 MIAMISBURG CENTERVILLE RD # 173
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-6522
Mailing Address - Country:US
Mailing Address - Phone:410-340-7556
Mailing Address - Fax:
Practice Address - Street 1:9426 EASTBROOK DR # 9426
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7871
Practice Address - Country:US
Practice Address - Phone:410-340-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA556106H00000X
MDLCM353106H00000X
FLMT4236106H00000X
OHF.2400423106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA556OtherMFT LICENSE NUMBER
MDLCM353OtherSTATE LICENSING BOARD
FLMFT4236OtherSTATE LICENSING BOARD
OHF.2400423OtherSTATE LICENSING BOARD