Active NPI
Honor Therapy Services, LLC
- Developmental Disabilities Clinic/Center
- Utica, MS
National Provider Identifier
1104079870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- OT0346
- Legal business name
- HONOR THERAPY SERVICES, LLC
- Practice address
- 1308 Barlow Dr
Utica, MS 39175-9423 - Phone
- (601) 624-2043
- Fax
- (601) 885-2060
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Kay Banks, OTR/L
- Title
- Owner/Sole Proprietor
- Phone
- (601) 624-2043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | OT0346 | MS | Primary |
Addresses
Primary practice location
1308 Barlow Dr
Utica, MS 39175-9423
Mailing address
PO Box 91
Utica, MS 39175-0091
Phone (601) 624-2043
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629150222 | Other | MS | NPPES |
| 00118814 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Vicksburg, MS
- NPI 1689774937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321315200000",
"number": "1104079870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "UTICA",
"state": "MS",
"postal_code": "391750091",
"telephone_number": "601-624-2043",
"fax_number": "601-885-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 BARLOW DR",
"city": "UTICA",
"state": "MS",
"postal_code": "391759423",
"telephone_number": "601-624-2043",
"fax_number": "601-885-2060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HONOR THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2011-11-15",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
"authorized_official_telephone_number": "601-624-2043",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "MS",
"license": "OT0346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1629150222",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118814",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.