Provider Demographics
NPI:1073759130
Name:HONEYCUTT, FREDDY (LPC)
Entity Type:Individual
Prefix:
First Name:FREDDY
Middle Name:
Last Name:HONEYCUTT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 CHESTATEE CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7734
Mailing Address - Country:US
Mailing Address - Phone:479-530-9572
Mailing Address - Fax:
Practice Address - Street 1:224 CHESTATEE CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7734
Practice Address - Country:US
Practice Address - Phone:479-530-9572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA0808055101Y00000X
GALPC008803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor