Organization
CHAYIM KAVANAH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREN RENA' MOORE PHD (OWNER)
(501) 247-3656
Entity
Organization
Contact information
Practice address
505 W PERSHING BLVD STE C, NORTH LITTLE ROCK, AR 72114-2157
(501) 247-3656
Mailing address
PO BOX 94052, NORTH LITTLE ROCK, AR 72190-4052
(501) 247-3656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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