Provider Demographics
NPI:1407553050
Name:HONEY, MELANIE S
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:S
Last Name:HONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 W TOWNSHIP AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86021-6320
Mailing Address - Country:US
Mailing Address - Phone:928-875-0969
Mailing Address - Fax:
Practice Address - Street 1:280 W TOWNSHIP AVE
Practice Address - Street 2:
Practice Address - City:COLORADO CITY
Practice Address - State:AZ
Practice Address - Zip Code:86021-6320
Practice Address - Country:US
Practice Address - Phone:928-875-0969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13203978-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health