Provider Demographics
NPI:1942937610
Name:BEE BUBBLY WELLNESS LLC
Entity Type:Organization
Organization Name:BEE BUBBLY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DOMINICI
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-519-7961
Mailing Address - Street 1:807 ROBERTA ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-5672
Mailing Address - Country:US
Mailing Address - Phone:337-519-7961
Mailing Address - Fax:
Practice Address - Street 1:301 E SAINT PETER ST STE 101
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3787
Practice Address - Country:US
Practice Address - Phone:337-519-7961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty