Provider Demographics
NPI:1770391542
Name:PURE HONEY COUNSELING AND WELLNESS SERVICES LLC
Entity type:Organization
Organization Name:PURE HONEY COUNSELING AND WELLNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DE'ANGELO
Authorized Official - Last Name:STINCHCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S, CDCA
Authorized Official - Phone:614-347-9455
Mailing Address - Street 1:1586 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2153
Mailing Address - Country:US
Mailing Address - Phone:614-347-9455
Mailing Address - Fax:
Practice Address - Street 1:1586 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2153
Practice Address - Country:US
Practice Address - Phone:614-347-9455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty