Organization
HONOR THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON KAY BANKS OTR/L (OWNER/SOLE PROPRIETOR)
(601) 624-2043
Entity
Organization
Contact information
Practice address
1308 BARLOW DR, UTICA, MS 39175-9423
(601) 624-2043
(601) 885-2060
Mailing address
PO BOX 91, UTICA, MS 39175-0091
(601) 624-2043
(601) 885-2060
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
OT0346
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118814
—
MS
01
—
1629150222
NPPES
MS
Enumeration date
10/28/2008
Last updated
11/15/2011
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