Provider Demographics
NPI:1679895817
Name:WILLIAMS, MEGAN M (MFT, LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MFT, LPC, RPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MEANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT, LPC, RPT
Mailing Address - Street 1:2105 S 54TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8191
Mailing Address - Country:US
Mailing Address - Phone:479-372-4859
Mailing Address - Fax:479-268-4723
Practice Address - Street 1:2105 S 54TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8169
Practice Address - Country:US
Practice Address - Phone:479-372-4859
Practice Address - Fax:479-268-4723
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP121110101YP2500X
ARM1211011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist