Healthcare Provider Details

I. General information

NPI: 1285565333
Provider Name (Legal Business Name): MEGAN EFFINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2713 SE I ST STE 5
BENTONVILLE AR
72712-0078
US

IV. Provider business mailing address

1109 N ORIOLE AVE
ROGERS AR
72756-1988
US

V. Phone/Fax

Practice location:
  • Phone: 479-403-2915
  • Fax:
Mailing address:
  • Phone: 262-331-1120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number10060117
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA2307026
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: