MEDICARE: HONEYB WELLNESS

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	261QM1300X	Multi-Specialty Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1811452279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONEYB WELLNESS

Provider Business Mailing Address
First Line	:	211 E FORT AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-4628
Country	:	US
Telephone Number	:	410-908-9820
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E FORT AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-4628
Country	:	US
Telephone Number	:	443-708-7673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BETHANY SINCLAIR GROVE
Credential	:	MS, LCPC
Telephone Number	:	410-908-9820

Provider Enumeration Date	:	02/09/2019
Last Update Date	:	09/19/2022

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Directions to “HONEYB WELLNESS ” Practice Location

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