Provider Demographics
NPI:1407176795
Name:WERNER, MEGAN ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ANN
Last Name:WERNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHPP
Mailing Address - Street 1:2153 E JOYCE BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4714
Mailing Address - Country:US
Mailing Address - Phone:479-575-9471
Mailing Address - Fax:479-587-9392
Practice Address - Street 1:3715 N BUSINESS DR
Practice Address - Street 2:STE 104
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5204
Practice Address - Country:US
Practice Address - Phone:479-521-1532
Practice Address - Fax:479-587-9392
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health