Provider Demographics
NPI:1639317357
Name:HUNEYCUTT, ERIN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:HUNEYCUTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2355
Mailing Address - Country:US
Mailing Address - Phone:704-660-6854
Mailing Address - Fax:704-662-0866
Practice Address - Street 1:919 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2355
Practice Address - Country:US
Practice Address - Phone:704-904-6642
Practice Address - Fax:704-662-0866
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0071631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007904Medicaid