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General NPI Number Information
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NPI Number | 1104647973
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Entity Type | Organization
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Legal Business Name | K. HONEYCUTT THERAPY & CONSULTING LLC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1415 NW 43RD STREET 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73012
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Country | US
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Telephone | 954-849-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 18328 AUTUMN GROVE DRIVE
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City | EDMOND
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State | OK
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Zip | 73012-4489
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Country | US
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Telephone | 954-849-2949
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATOR
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Name | KARYLL SCOTT HONEYCUTT
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Credential | LCSW
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Telephone | 954-849-2949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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