Provider Demographics
NPI:1790542967
Name:HONEY BROOKS OCCUPATIONAL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:HONEY BROOKS OCCUPATIONAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OTR/L
Authorized Official - Prefix:
Authorized Official - First Name:HONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:601-329-1139
Mailing Address - Street 1:126 CANEY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:MS
Mailing Address - Zip Code:39455-9330
Mailing Address - Country:US
Mailing Address - Phone:601-329-1139
Mailing Address - Fax:
Practice Address - Street 1:126 CANEY CHURCH RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:MS
Practice Address - Zip Code:39455-9330
Practice Address - Country:US
Practice Address - Phone:601-329-1139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty