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General NPI Number Information
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NPI Number | 1356702112
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Entity Type | Organization
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Legal Business Name | HONEYCUTT COUNSELING
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 41 WASHINGTON AVE SUITE 306
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City | GRAND HAVEN
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State | MI
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Zip | 49417-1390
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Country | US
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Telephone | 615-587-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 41 WASHINGTON AVE. SUITE 306
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City | GRAND HAVEN
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State | MI
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Zip | 49417-1586
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Country | US
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Telephone | 615-587-3549
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JULIE L HONEYCUTT
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Credential | LPC, LMHC, MHSP
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Telephone | 615-587-3549
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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 | 8419
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2075
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401014679
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License Number State | MI
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