Provider Demographics
NPI:1366081069
Name:HONEYCUTT WELLNESS INCORPORATED
Entity type:Organization
Organization Name:HONEYCUTT WELLNESS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGENE
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:HONEYCUTT-ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-277-4038
Mailing Address - Street 1:4712 E 2ND ST STE 237
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5309
Mailing Address - Country:US
Mailing Address - Phone:562-277-4038
Mailing Address - Fax:
Practice Address - Street 1:101 E LINCOLN AVE STE 230
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-3206
Practice Address - Country:US
Practice Address - Phone:562-277-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty