# CENTENNIAL PSYCHOLOGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629319918
- **Authorized official:** NICOLE PUCCI L.C.S.W. (CLINICAL DIRECTOR)
- **Authorized official phone:** (702) 278-8911

## Contact information

- **Practice address:** 7495 W AZURE DR, STE 205, LAS VEGAS, NV 89130-4416
- **Practice address phone:** (702) 608-0404
- **Mailing address:** 7495 W AZURE DR, STE 205, LAS VEGAS, NV 89130-4416
- **Mailing address phone:** (702) 608-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6050-C | NV | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 03/12/2013