Provider Demographics
NPI:1508662313
Name:HOMB THERAPY LLC
Entity type:Organization
Organization Name:HOMB THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:HOMB
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:563-580-1990
Mailing Address - Street 1:3388 KENNEDY CIR STE 1
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-3903
Mailing Address - Country:US
Mailing Address - Phone:563-580-1990
Mailing Address - Fax:
Practice Address - Street 1:3388 KENNEDY CIR STE 1
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-3903
Practice Address - Country:US
Practice Address - Phone:563-580-1990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty