Provider Demographics
NPI:1669118998
Name:HONOR L.L.C.
Entity type:Organization
Organization Name:HONOR L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R, CASAC MASTER
Authorized Official - Phone:917-569-4841
Mailing Address - Street 1:3289 NE HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-5715
Mailing Address - Country:US
Mailing Address - Phone:813-492-1600
Mailing Address - Fax:
Practice Address - Street 1:3289 NE HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-5715
Practice Address - Country:US
Practice Address - Phone:917-569-4841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder