Healthcare Provider Details

I. General information

NPI: 1720484629
Provider Name (Legal Business Name): MEGAN DENSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN WILCOX

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 11/08/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 WEST 10TH STREET SUITE 600
LITTLE ROCK AR
72204-1761
US

IV. Provider business mailing address

P.O. BOX 251970
LITTLE ROCK AR
72225-1970
US

V. Phone/Fax

Practice location:
  • Phone: 501-660-6817
  • Fax: 501-660-6825
Mailing address:
  • Phone: 501-666-8686
  • Fax: 501-660-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA1709289
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: