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HONEY LAKE CLINIC INC
NPI 1548794480
Clinic/Center - Adult Mental Health in Greenville, FL

Active since April 18, 2017
1449 NW HONEY LAKE RD, GREENVILLE, FL 32331(954) 536-9539 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2022, Apr 18, 2017 (2 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adult Mental Health

About HONEY LAKE CLINIC INC

This page provides the complete NPI Profile along with additional information for Honey Lake Clinic Inc, a provider established in Greenville, Florida operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1548794480 assigned on April 2017. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Nicola Rajaram (Billing Manager)

NPI
1548794480 Verify this NPI
Provider Name
HONEY LAKE CLINIC INC
Entity Type
Organization
Location Address
1449 NW HONEY LAKE RD GREENVILLE, FL 32331
Location Phone
(954) 536-9539
Mailing Address
13639 ALLAMANDA CIR PORT CHARLOTTE, FL 33981
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2017
Last Update Date
09-30-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 (FL)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLA RAJARAM

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(954) 272-6612

Reviews for HONEY LAKE CLINIC INC

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Frequently Asked Questions

What is HONEY LAKE CLINIC INC's NPI number?

The NPI number assigned to this healthcare provider is 1548794480, enumerated as an "organization" on April 18, 2017.

Where is the provider located?

The provider is located at 1449 NW HONEY LAKE RD GREENVILLE, FL 32331 and the phone number is (954) 536-9539.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.