Provider Demographics
NPI:1265831200
Name:THE CENTER FOR CHILD AND FAMILY THERAPY
Entity Type:Organization
Organization Name:THE CENTER FOR CHILD AND FAMILY THERAPY
Other - Org Name:CLINT AND CHERYE LIMOGES PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LIMOGES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-844-0394
Mailing Address - Street 1:3723 GRACEFUL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-2028
Mailing Address - Country:US
Mailing Address - Phone:501-844-0391
Mailing Address - Fax:
Practice Address - Street 1:11215 HERMITAGE RD STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3864
Practice Address - Country:US
Practice Address - Phone:501-844-0394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0704017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty