Healthcare Provider Details

I. General information

NPI: 1568656858
Provider Name (Legal Business Name): MEGAN ELIZABETH HUGHES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ELIZABETH CREAMER LMSW

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 FOREST PLACE
LITTLE ROCK AR
72207
US

IV. Provider business mailing address

PO BOX 251970
LITTLE ROCK AR
72225-1970
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-8686
  • Fax:
Mailing address:
  • Phone: 501-666-8686
  • Fax: 501-660-6840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6649-M
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: