Provider Demographics
NPI:1942574850
Name:HONOWAY, MICHELLE DEBORAH (LLPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:DEBORAH
Last Name:HONOWAY
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24825 HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2627
Mailing Address - Country:US
Mailing Address - Phone:248-767-8297
Mailing Address - Fax:248-415-2510
Practice Address - Street 1:24825 HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2627
Practice Address - Country:US
Practice Address - Phone:248-767-8297
Practice Address - Fax:248-415-2510
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012850101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health