Provider Demographics
NPI:1568271526
Name:HONESTY, MARCALE C
Entity type:Individual
Prefix:
First Name:MARCALE
Middle Name:C
Last Name:HONESTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 HANSON AVE APT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2959
Mailing Address - Country:US
Mailing Address - Phone:757-949-7833
Mailing Address - Fax:
Practice Address - Street 1:1259 HANSON AVE APT B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2959
Practice Address - Country:US
Practice Address - Phone:757-949-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health