Provider Demographics
NPI:1922037555
Name:HEBERT, LARRY JOSEPH SR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:JOSEPH
Last Name:HEBERT
Suffix:SR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 BLUE WATER DR
Mailing Address - Street 2:APT 903
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-6254
Mailing Address - Country:US
Mailing Address - Phone:817-860-2707
Mailing Address - Fax:
Practice Address - Street 1:2320 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-6705
Practice Address - Country:US
Practice Address - Phone:817-255-7125
Practice Address - Fax:817-255-7130
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36884104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker