IndividualActive
Larry Henderson, DMIN
NPI 1801019302 · Pastoral Counselor · Conway, AR
Provider details
- NPI number
- 1801019302
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- DMIN
- Sex
- Male
- Sole proprietor
- Yes
- License
- P9005009 (AR)
Practice location
1100 Bob Courtway Dr
Suite 9
Conway, AR 72032-4766
Phone: (501) 328-5525
Mailing address
Po Box 845
Mayflower, AR 72106-0845
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.