Honey Lake Clinic Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

HONEY LAKE CLINIC INC

Practice address

1450 NW Honey Lake Rd
Greenville, FL 32331-4068

Phone

(954) 536-9539

NPI assigned

Apr 11, 2017

Last updated

Sep 30, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Nachtwey

Title

Director of Admissions

Phone

(954) 205-0505

Specialties & licenses 4

Addresses

Tax ID family

Hazel House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Honey Lake Clinic Inc

  • Adult Mental Health Clinic/Center
  • Greenville, FL
  • NPI 1548794480
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheryl L Adams, PH.D.

  • Clinical Psychologist
  • Greenville, FL
  • NPI 1982667739
  NPD (past)
• Elena Danielle Reyes-Runyon, LMHC, BCBA

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1477878080
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1508399056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13639 ALLAMANDA CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339813911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NW HONEY LAKE RD",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "323314068",
            "telephone_number": "954-536-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEY LAKE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "NACHTWEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF ADMISSIONS",
        "authorized_official_telephone_number": "954-205-0505"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Fisher-Bezick, RPH
• Greenville HLTH MGMT LLC (crosswinds health and rehabilitation center)
• Greenville Opco LLC
• Greenville Outpatient Services, Inc.
• Greenville Partnership LTD (Pine Lake Nursing Home)
• Honey Lake Clinic Inc
• Jacksons Drugs of Monticello, Inc.
• Joann Bridges Academy
• Mary Ellen Keyt, LMHC
• Lafrenchee L. McCreary (Rosa's Caring Heart)

• Psychiatric Residential Treatment Facility in Greenville, FL
• Providers in Greenville, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.