Provider Demographics
NPI:1003561846
Name:HONEYCUTT, HEATHER (CIT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 REDDIX LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71202-5949
Mailing Address - Country:US
Mailing Address - Phone:318-582-4480
Mailing Address - Fax:
Practice Address - Street 1:4600 REDDIX LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-5949
Practice Address - Country:US
Practice Address - Phone:318-582-4480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5348101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)