MEDICARE: HONORMYRISE GRIEF & TRAUMA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1790641793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONORMYRISE GRIEF & TRAUMA LLC

Provider Business Mailing Address
First Line	:	3552 TRILOGY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4777
Country	:	US
Telephone Number	:	702-292-8005
Fax Number	:

Provider Business Practice Location Address
First Line	:	3552 TRILOGY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4777
Country	:	US
Telephone Number	:	702-292-8005
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER & PROGRAM DIRECTOR
Name	:	MICHELLE BARDLETT
Credential	:
Telephone Number	:	725-292-8005

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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