Provider Demographics
NPI:1376253575
Name:HOUSE OF HONEY
Entity Type:Organization
Organization Name:HOUSE OF HONEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTIANA
Authorized Official - Middle Name:DESIREE
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-709-2662
Mailing Address - Street 1:5326 HANOVER CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2341
Mailing Address - Country:US
Mailing Address - Phone:402-709-2662
Mailing Address - Fax:
Practice Address - Street 1:5326 HANOVER CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2341
Practice Address - Country:US
Practice Address - Phone:402-709-2662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty