Provider Demographics
NPI:1194269266
Name:KATZ, HOLLY (IL LCPC, CO LPC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:IL LCPC, CO LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 SPYGLASS HILL CT
Mailing Address - Street 2:
Mailing Address - City:RIVERWOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3862
Mailing Address - Country:US
Mailing Address - Phone:847-452-7554
Mailing Address - Fax:
Practice Address - Street 1:2416 SPYGLASS HILL CT
Practice Address - Street 2:
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015-3862
Practice Address - Country:US
Practice Address - Phone:847-452-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178005705101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health