Provider Demographics
NPI:1720881618
Name:HOME BASED COUNSELING OF NEVADA
Entity type:Organization
Organization Name:HOME BASED COUNSELING OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:775-848-9392
Mailing Address - Street 1:2748 KIMBERLITE RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-4110
Mailing Address - Country:US
Mailing Address - Phone:775-848-9392
Mailing Address - Fax:
Practice Address - Street 1:2748 KIMBERLITE RD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-4110
Practice Address - Country:US
Practice Address - Phone:775-848-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty