MEDICARE: CHILDREN & FAMILY ADVOCACY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1609742949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN & FAMILY ADVOCACY CENTER

Provider Business Mailing Address
First Line	:	2113 LITTLE FLOCK DR
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-7042
Country	:	US
Telephone Number	:	479-621-0385
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 LITTLE FLOCK DR
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-7042
Country	:	US
Telephone Number	:	479-621-0385
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE AND ADMIN
Name	:	KATHY FISHER
Credential	:
Telephone Number	:	479-936-0678

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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