Provider Demographics
NPI:1528684057
Name:HONEY PIE PEDIATRIC THERAPY LLC
Entity type:Organization
Organization Name:HONEY PIE PEDIATRIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:WILLIFORD
Authorized Official - Last Name:HENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:M ED CCC-SLP
Authorized Official - Phone:803-993-9959
Mailing Address - Street 1:106 E MARTINTOWN RD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3425
Mailing Address - Country:US
Mailing Address - Phone:803-993-9959
Mailing Address - Fax:803-728-3334
Practice Address - Street 1:106 E MARTINTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-3425
Practice Address - Country:US
Practice Address - Phone:803-993-9959
Practice Address - Fax:803-728-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty