Provider Demographics
NPI:1104647973
Name:K. HONEYCUTT THERAPY & CONSULTING LLC
Entity type:Organization
Organization Name:K. HONEYCUTT THERAPY & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KARYLL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-849-2949
Mailing Address - Street 1:18328 AUTUMN GROVE DRIVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4489
Mailing Address - Country:US
Mailing Address - Phone:954-849-2949
Mailing Address - Fax:
Practice Address - Street 1:1415 NW 43RD STREET
Practice Address - Street 2:101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73012
Practice Address - Country:US
Practice Address - Phone:954-849-2949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health