Individual
DR. LARRY P HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN
Contact information
Practice address
1100 BOB COURTWAY DR, SUITE 9, CONWAY, AR 72032-4766
(501) 328-5525
Mailing address
PO BOX 845, MAYFLOWER, AR 72106-0845
(501) 328-5525
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
P9005009
AR
101YP2500X
Professional Counselor
P9005009
AR
106H00000X
Marriage & Family Therapist
M9712037
AR
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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