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HOME-BASED BEHAVIORAL SOLUTIONS LLC NPI 1215278718


NPI Information

NPI: 1215278718
Provider Name: HOME-BASED BEHAVIORAL SOLUTIONS LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
7863 BROADWAY
220
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 795-1275
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HOME-BASED BEHAVIORAL SOLUTIONS LLC is an adolescent and children mental health clinic center in Merrillville, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. HOME-BASED BEHAVIORAL SOLUTIONS LLC NPI is 1215278718. The provider is registered as an organization entity type.

The provider's business location address is:

7863 BROADWAY
220
MERRILLVILLE, IN
ZIP 46410-553
Phone: (219) 795-1275
Fax: (219) 795-1277

The provider's authorized official is Jeff Kazmierczak .
The authorized official title is Ceo President and has the following contact phone number (414) 861-1688.

The enumeration date for this NPI number is 3/7/2013 and was last updated on 3/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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