Provider Demographics
NPI:1578901435
Name:BARNETTE, MEGAN MALEAH (LMSW/LRSB)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MALEAH
Last Name:BARNETTE
Suffix:
Gender:F
Credentials:LMSW/LRSB
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MALEAH
Other - Last Name:GLASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10025 W. MARKHAM ST
Mailing Address - Street 2:STE 210
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-663-5473
Mailing Address - Fax:501-801-1816
Practice Address - Street 1:10025 W. MARKHAM ST
Practice Address - Street 2:STE 210
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-663-5473
Practice Address - Fax:501-801-1816
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool