Provider Demographics
NPI:1528857745
Name:HONEYSUCKLE & PEARL LLC
Entity type:Organization
Organization Name:HONEYSUCKLE & PEARL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC/LACTATION CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DEITCH
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:337-540-6179
Mailing Address - Street 1:1953 COFFEY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70611-3627
Mailing Address - Country:US
Mailing Address - Phone:337-540-6179
Mailing Address - Fax:
Practice Address - Street 1:340 N HIGHWAY 171
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70611-5345
Practice Address - Country:US
Practice Address - Phone:337-540-6179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty