Healthcare Provider Details

I. General information

NPI: 1427107747
Provider Name (Legal Business Name): EILEEN R KATZ MS, LMFT, LCMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9426 EASTBROOK DR # 9426
MIAMISBURG OH
45342-7871
US

IV. Provider business mailing address

707 MIAMISBURG CENTERVILLE RD # 173
DAYTON OH
45459-6522
US

V. Phone/Fax

Practice location:
  • Phone: 410-340-7556
  • Fax:
Mailing address:
  • Phone: 410-340-7556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number556
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM353
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4236
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.2400423
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: