Provider Demographics
NPI:1114045416
Name:ARNOLD, HENRY A (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:A
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 CENTRAL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5812
Mailing Address - Country:US
Mailing Address - Phone:817-399-1270
Mailing Address - Fax:
Practice Address - Street 1:1903 CENTRAL DR
Practice Address - Street 2:SUITE 102
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5812
Practice Address - Country:US
Practice Address - Phone:817-399-1270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13486101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor