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Contact Information

LARRY P HENDERSON, DMIN
1100 BOB COURTWAY DR
SUITE 9
CONWAY, AR72032-4766
 Phone: 501-328-5525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Marriage & Family Therapist

106H00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LARRY P HENDERSON · (Male)

NPI # 1801019302
Status Active
Credentials DMIN
Entity Individual
Enumeration date 04/11/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • AR License # M9712037
  • AR License # P9005009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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