Healthcare Provider Details

I. General information

NPI: 1720708050
Provider Name (Legal Business Name): MEGAN LANGLINAIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17680 INTERSTATE 30 N STE 1
BENTON AR
72019-2921
US

IV. Provider business mailing address

115 GATEWAY DR UNIT C
ALEXANDER AR
72002-1955
US

V. Phone/Fax

Practice location:
  • Phone: 501-575-2344
  • Fax: 501-242-7009
Mailing address:
  • Phone: 337-315-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13104-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: