Provider Demographics
NPI:1427373695
Name:GREENWOOD, MEGAN M (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 KINGS CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1603
Mailing Address - Country:US
Mailing Address - Phone:501-765-8045
Mailing Address - Fax:
Practice Address - Street 1:5 KINGS CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-1603
Practice Address - Country:US
Practice Address - Phone:501-765-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1705303101Y00000X, 101YP2500X, 101YM0800X
ARA1003041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional