MEDICARE: COMMUNITY FAMILY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1316593296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY FAMILY SERVICES, LLC

Provider Business Mailing Address
First Line	:	2328 E VAN BUREN ST STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-3950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2328 E VAN BUREN ST STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-3950
Country	:	US
Telephone Number	:	480-667-7430
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	SHANNA MICHELLE DEMUS
Credential	:
Telephone Number	:	623-695-6045

Provider Enumeration Date	:	08/15/2019
Last Update Date	:	08/09/2025

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