Healthcare Provider Details

I. General information

NPI: 1669345104
Provider Name (Legal Business Name): HONOR BOUND INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7635 SANTEE TER
LAKE WORTH FL
33467-7866
US

IV. Provider business mailing address

7635 SANTEE TER
LAKE WORTH FL
33467-7866
US

V. Phone/Fax

Practice location:
  • Phone: 727-601-8936
  • Fax: 828-416-0056
Mailing address:
  • Phone: 727-601-8936
  • Fax: 828-416-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SUE ANN GARRISON
Title or Position: CLINICAL PSYCHOLOGIST/OWNER
Credential: PH.D.
Phone: 727-601-8936