Provider Demographics
NPI:1205322435
Name:LABANZ, JULIE (MA, LPCC-S, CST)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:LABANZ
Suffix:
Gender:F
Credentials:MA, LPCC-S, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2869
Mailing Address - Country:US
Mailing Address - Phone:513-486-6621
Mailing Address - Fax:
Practice Address - Street 1:434 NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2869
Practice Address - Country:US
Practice Address - Phone:513-486-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1800942101YM0800X
KY272502101YM0800X
OHE.2102378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health