Provider Demographics
NPI:1265702781
Name:HONEYCUTT, LYNN (LAPC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3547 HABERSHAM AT NORTHLAKE
Mailing Address - Street 2:BUILDING F
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3547 HABERSHAM AT NORTHLAKE
Practice Address - Street 2:BUILDING F
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4001
Practice Address - Country:US
Practice Address - Phone:404-643-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC002919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health