Healthcare Provider Details

I. General information

NPI: 1518345206
Provider Name (Legal Business Name): HONOR N SANKEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HONOR DUVALL LCSW

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INTEGRATED THERAPY SOLUTIONS OF OKLAHOMA 620 NW 5TH ST
MOORE OK
73160
US

IV. Provider business mailing address

620 NW 5TH STREET SUITE D
MOORE OK
73160
US

V. Phone/Fax

Practice location:
  • Phone: 405-221-9640
  • Fax:
Mailing address:
  • Phone: 405-208-4469
  • Fax: 405-208-4472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6960
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: