Provider Demographics
NPI:1700407251
Name:HONEYCUTT, MAURICE (PHD, MPA, MS, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:
Last Name:HONEYCUTT
Suffix:
Gender:M
Credentials:PHD, MPA, MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 N 1800 W STE 108
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-1874
Mailing Address - Country:US
Mailing Address - Phone:727-222-3677
Mailing Address - Fax:
Practice Address - Street 1:175 N 1800 W STE 108
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-1874
Practice Address - Country:US
Practice Address - Phone:727-222-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-06
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13587780-3902106H00000X
ID9938106H00000X
IDLPC-7671101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty