# CENTENNIAL FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centennial Family Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902167653
- **Authorized official:** STEPHENIA BURSEY (PROGRAM DIRECTOR)
- **Authorized official phone:** (702) 258-8023

## Contact information

- **Practice address:** 3560 W CHEYENNE AVE, SUITE 130, NORTH LAS VEGAS, NV 89032-8260
- **Practice address phone:** (702) 258-8023
- **Mailing address:** 3560 W CHEYENNE AVE, SUITE 130, NORTH LAS VEGAS, NV 89032-8260
- **Mailing address phone:** (702) 258-8023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 12/18/2013