Provider Demographics
NPI:1427737055
Name:HOMB, NANCY (LMFT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HOMB
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 1/2 W WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3011
Mailing Address - Country:US
Mailing Address - Phone:713-540-3957
Mailing Address - Fax:
Practice Address - Street 1:145 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-3075
Practice Address - Country:US
Practice Address - Phone:920-725-1230
Practice Address - Fax:920-725-1230
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105360106H00000X
TX204230106H00000X
WI2136-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist