Provider Demographics
NPI:1194192674
Name:HONEYCUTT, JULIE LOUISE (LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LOUISE
Last Name:HONEYCUTT
Suffix:
Gender:F
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:PO BOX 354
Mailing Address - Street 2:NONE
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-0354
Mailing Address - Country:US
Mailing Address - Phone:615-587-3549
Mailing Address - Fax:
Practice Address - Street 1:41 WASHINGTON AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1390
Practice Address - Country:US
Practice Address - Phone:615-587-3549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8419101YM0800X
MI6401014679101YP2500X
TN2075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health