Organization
HOMEBASED MENTAL HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA CASEY LPN (OWNER)
(317) 778-2826
Entity
Organization
Contact information
Practice address
2244 BLOSSOM DR, GREENWOOD, IN 46143
(317) 778-2826
Mailing address
2244 BLOSSOM DR, GREENWOOD, IN 46143-7739
(317) 778-2826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/21/2019
Last updated
09/19/2019
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