Healthcare Provider Details

I. General information

NPI: 1356169676
Provider Name (Legal Business Name): HONEY BEE RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 PASEO BLVD
KANSAS CITY MO
64109-1915
US

IV. Provider business mailing address

3114 PASEO BLVD
KANSAS CITY MO
64109-1915
US

V. Phone/Fax

Practice location:
  • Phone: 314-897-9598
  • Fax:
Mailing address:
  • Phone: 314-897-9598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JEROME THOMAS BURK
Title or Position: FOUNDER/EXECUTIVE DIRECTOR
Credential: TTS
Phone: 314-897-9598