Healthcare Provider Details

I. General information

NPI: 1902215221
Provider Name (Legal Business Name): MEGAN LEANN LONEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2014
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GATEWAY DR
CABOT AR
72023-8606
US

IV. Provider business mailing address

100 GATEWAY DR
CABOT AR
72023-8606
US

V. Phone/Fax

Practice location:
  • Phone: 501-777-5114
  • Fax: 501-325-2885
Mailing address:
  • Phone: 501-777-5114
  • Fax: 501-325-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1609145
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: