Individual
MS. GWENDOLYN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
16719 CANTRELL RD, LITTLE ROCK, AR 72223-4257
(501) 500-1564
Mailing address
16719 CANTRELL RD, LITTLE ROCK, AR 72223-4257
(479) 586-3349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A801004
AR
101YP2500X
Professional Counselor
Primary
P1206067
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598960825
NPPES
AR
01
—
5BD81
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/18/2007
Last updated
01/14/2026
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