# H2HOME THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134853062
- **Authorized official:** HEIDI CLAYBERG HALL MSW, LCSW, LISW-CP (PRESIDENT)
- **Authorized official phone:** (803) 429-5302

## Contact information

- **Practice address:** 721 REVERDY CT, FORT MILL, SC 29708-7970
- **Practice address phone:** (803) 429-5302
- **Practice address fax:** (833) 279-0655
- **Mailing address:** 721 REVERDY CT, FORT MILL, SC 29708-7970
- **Mailing address phone:** (803) 429-5302
- **Mailing address fax:** (833) 279-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2022
- **Last updated:** 07/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SW1197 | — | SC |
