Provider Demographics
NPI:1871854851
Name:NEWMAN, MEGHAN E (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:E
Last Name:NEWMAN
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 1:7701 S ZERO ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6644
Mailing Address - Country:US
Mailing Address - Phone:479-784-1453
Mailing Address - Fax:
Practice Address - Street 1:100 N WALNUT AVE STE C
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:AR
Practice Address - Zip Code:72944-3522
Practice Address - Country:US
Practice Address - Phone:571-338-0250
Practice Address - Fax:470-322-4800
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1606076101Y00000X
AR1903032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor