Healthcare Provider Details

I. General information

NPI: 1811452279
Provider Name (Legal Business Name): HONEYB WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2019
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E FORT AVE
BALTIMORE MD
21230-4628
US

IV. Provider business mailing address

211 E FORT AVE
BALTIMORE MD
21230-4628
US

V. Phone/Fax

Practice location:
  • Phone: 443-708-7673
  • Fax:
Mailing address:
  • Phone: 410-908-9820
  • 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
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BETHANY SINCLAIR GROVE
Title or Position: OWNER
Credential: MS, LCPC
Phone: 410-908-9820