Provider Demographics
NPI:1710318001
Name:BILZ, LAURA CATHERINE (MED, LPCA, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CATHERINE
Last Name:BILZ
Suffix:
Gender:F
Credentials:MED, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LEVERETT CT
Mailing Address - Street 2:APARTMENT 305
Mailing Address - City:FORT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1763
Mailing Address - Country:US
Mailing Address - Phone:606-875-4636
Mailing Address - Fax:
Practice Address - Street 1:434 SCOTT ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2342
Practice Address - Country:US
Practice Address - Phone:859-547-5773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1443101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health