Provider Demographics
NPI:1982855979
Name:HARRIS, MEGAN T (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:T
Last Name:HARRIS
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 1:107 WOODSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-3903
Mailing Address - Country:US
Mailing Address - Phone:870-415-7845
Mailing Address - Fax:870-863-7292
Practice Address - Street 1:200 N ALABAMA ST
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-2808
Practice Address - Country:US
Practice Address - Phone:870-415-7845
Practice Address - Fax:877-293-9503
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1103022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional