Honore, Phyllis Stephanie

Honore, Phyllis Stephanie is an sole proprietor health care provider with primary practice located at 21607 Kenyon Dr , Maple Heights OH 44137-2458. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Honore, Phyllis Stephanie can be contacted via phone (216) 324-7722.

Contact Information

Primary practice address
21607 Kenyon Dr Maple Heights OH 44137-2458
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Ohio

Profile Details

NPI number 1104747070
LBN Legal business name Honore, Phyllis Stephanie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2026
Last updated Jul 24th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104747070 NPPES
Ohio Other 008199 CERTIFICATION NUMBER PEER SUPPORT

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