Healthcare Provider Details

I. General information

NPI: 1083548739
Provider Name (Legal Business Name): NICOLE MEGGERS, LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 CENTRAL AVE STE 114
HOT SPRINGS AR
71901-5301
US

IV. Provider business mailing address

701 SOUTH ST STE 100
MOUNTAIN HOME AR
72653-4452
US

V. Phone/Fax

Practice location:
  • Phone: 501-383-3500
  • Fax:
Mailing address:
  • Phone: 501-383-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NICOLE MEGGERS
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW
Phone: 501-276-3316