Provider Demographics
NPI:1316385750
Name:HONEYBEE COUNSELING AND WELLNESS CENTER
Entity type:Organization
Organization Name:HONEYBEE COUNSELING AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-676-9860
Mailing Address - Street 1:9255 S REDWOOD RD
Mailing Address - Street 2:BUILDING 6 SUITE A&B
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-5818
Mailing Address - Country:US
Mailing Address - Phone:801-676-9860
Mailing Address - Fax:
Practice Address - Street 1:9255 S REDWOOD RD
Practice Address - Street 2:BUILDING 6 SUITE A&B
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5818
Practice Address - Country:US
Practice Address - Phone:801-676-9860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8631987-01621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty