Healthcare Provider Details

I. General information

NPI: 1851215081
Provider Name (Legal Business Name): HONORED PATHWAYS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 NW 114TH ST STE 201
CLIVE IA
50325-7011
US

IV. Provider business mailing address

1370 NW 114TH ST STE 201
CLIVE IA
50325-7011
US

V. Phone/Fax

Practice location:
  • Phone: 515-954-5105
  • Fax:
Mailing address:
  • Phone: 515-954-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN HONOR HAINES
Title or Position: OWNER/THERAPIST
Credential: LMHC
Phone: 515-954-5105