Henderson, Larry P

Henderson, Larry P is an sole proprietor health care provider with primary practice located at 1100 Bob Courtway Dr Suite 9, Conway AR 72032-4766. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Henderson, Larry P can be contacted via phone (501) 328-5525.

Contact Information

Primary practice address
1100 Bob Courtway Dr Suite 9 Conway AR 72032-4766
Phone: (501) 328-5525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X P9005009 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P9005009 Arkansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M9712037 Arkansas

Profile Details

NPI number 1801019302
LBN Legal business name Henderson, Larry P
Credentials DMIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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