| Doctor Name: | MRS. KELLEY ANN HUNEYCUTT |
| NPI Number: | 1245539766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,CAMS |
| License Number: | 1476 |
| Business Practice Address: | 106 W Port St Deridder, LA - 706344040 |
| Business Phone Number: | 3374621641 |
| Business Fax Number: | 3374621354 |
| Mailing Address: | 877 Bienvenue St, DERIDDER |
| State: | LA |
| Postal Code: | 706345488 |
| Phone Number: | 3372021723 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2011 |
| NPI Last Update Date: | 10/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |