Provider Demographics
NPI:1730655267
Name:PANTIER, MARGENA KAY (LPC-S, LMFT-S, RPT-S)
Entity Type:Individual
Prefix:
First Name:MARGENA
Middle Name:KAY
Last Name:PANTIER
Suffix:
Gender:F
Credentials:LPC-S, LMFT-S, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S 24TH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1129
Mailing Address - Country:US
Mailing Address - Phone:479-621-0301
Mailing Address - Fax:
Practice Address - Street 1:204 S 24TH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1129
Practice Address - Country:US
Practice Address - Phone:479-621-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM1207009101YM0800X
ARP1207079101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health