Provider Demographics
NPI:1063764546
Name:THE HOMEBASED THERAPIST, INC
Entity type:Organization
Organization Name:THE HOMEBASED THERAPIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAPIER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-818-5885
Mailing Address - Street 1:555 W SCHROCK RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8702
Mailing Address - Country:US
Mailing Address - Phone:614-818-5885
Mailing Address - Fax:
Practice Address - Street 1:555 W SCHROCK RD
Practice Address - Street 2:SUITE D
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8702
Practice Address - Country:US
Practice Address - Phone:614-818-5885
Practice Address - Fax:614-818-5895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 05000191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty