Healthcare Provider Details

I. General information

NPI: 1497313738
Provider Name (Legal Business Name): HONEYBEE PSYCHOTHERAPY & BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2019
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 WRIGHTSVILLE AVE
WILMINGTON NC
28403-4111
US

IV. Provider business mailing address

3133 WRIGHTSVILLE AVE
WILMINGTON NC
28403-4111
US

V. Phone/Fax

Practice location:
  • Phone: 910-742-0489
  • Fax: 910-795-0110
Mailing address:
  • Phone: 910-742-0489
  • Fax: 910-726-3979

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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. RACHEL MARIE HENDRICKS
Title or Position: OWNER, LEAD THERAPIST
Credential: LCSW
Phone: 910-742-0489