MEDICARE: HONEY PIE PEDIATRIC THERAPY 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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1528684057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONEY PIE PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	106 E MARTINTOWN RD STE A
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3425
Country	:	US
Telephone Number	:	803-993-9959
Fax Number	:	803-728-3334

Provider Business Practice Location Address
First Line	:	106 E MARTINTOWN RD STE A
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3425
Country	:	US
Telephone Number	:	803-993-9959
Fax Number	:	803-728-3334

Authorized Official
Title or Position	:	SPEECH PATHOLOGIST
Name	:	MRS. KELLY WILLIFORD HENNINGS
Credential	:	M. ED. CCC-SLP
Telephone Number	:	803-993-9959

Provider Enumeration Date	:	06/20/2020
Last Update Date	:	03/04/2025

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Directions to “HONEY PIE PEDIATRIC THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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