Home Base Inc. is a Community/Behavioral Health Agency based in Charleston, WV. Home Base Inc. practices in Charleston, WV. The NPI Number for Home Base Inc. is 1083064695 and holds a License No. 440 (West Virginia).
The current practice location address for Home Base Inc. is 713 Bigley Ave, Charleston, WV and can be reached out via phone at 304-746-2918 and via fax at 304-746-2919.
Location: 713 Bigley Ave, Charleston, WV, 25362-1033
Provider Profile Details
NPI Number
1083064695
Provider Name
Home Base Inc.
Credential
Provider Entity Type
Organization
Address
713 Bigley Ave, Charleston, WV, 25362-1033
Phone Number
304-746-2918
Fax Number
304-746-2919
Provider Enumeration Date
06/14/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440 | 01 | WV | WEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE |
| 9435000000 | 05 | WV | |
| 9435000001 | 05 | WV |
Provider Business Practice Location Address Details
Address
713 Bigley Ave
City
State
Zip
25302-3356
Phone Number
304-746-2918
Fax Number
304-746-2919
Provider Business Mailing Address Details
Address
713 Bigley Ave
City
State
Zip
25302-3356
Phone Number
304-746-2918
Fax Number
304-746-2919
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
440 (West Virginia)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
440 (West Virginia)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
440 (West Virginia)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
440 (West Virginia)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
440 (West Virginia)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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