Provider Demographics
NPI:1174943757
Name:COMMUNITY FAMILY SERVICES
Entity type:Organization
Organization Name:COMMUNITY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUISON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:310-384-3312
Mailing Address - Street 1:848 N RAINBOW BLVD
Mailing Address - Street 2:#5297
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1103
Mailing Address - Country:US
Mailing Address - Phone:310-384-3312
Mailing Address - Fax:
Practice Address - Street 1:848 N RAINBOW BLVD
Practice Address - Street 2:#5297
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1103
Practice Address - Country:US
Practice Address - Phone:310-384-3312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV=========Medicaid