Individual
MS. AUTUMN RAE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-I, LMSW
Contact information
Practice address
2601 SCOTT AVE STE 402, FORT WORTH, TX 76103-2333
(682) 359-6167
Mailing address
2601 SCOTT AVE STE 402, FORT WORTH, TX 76103-2333
(682) 359-6167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116883
TX
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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