Healthcare Provider Details

I. General information

NPI: 1609742949
Provider Name (Legal Business Name): CHILDREN & FAMILY ADVOCACY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 LITTLE FLOCK DR
ROGERS AR
72756-7042
US

IV. Provider business mailing address

2113 LITTLE FLOCK DR
ROGERS AR
72756-7042
US

V. Phone/Fax

Practice location:
  • Phone: 479-621-0385
  • Fax:
Mailing address:
  • Phone: 479-621-0385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATHY FISHER
Title or Position: DIRECTOR OF FINANCE AND ADMIN
Credential:
Phone: 479-936-0678