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INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION NPI 1801109418


NPI Information

NPI: 1801109418
Provider Name: INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
320 PRINCESS AVE
N LAS VEGAS, NV
ZIP 89030
Phone: (702) 573-5812
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INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION is a marriage family therapist in N Las Vegas, NV. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION NPI is 1801109418. The provider is registered as an organization entity type.

The provider's business location address is:

320 PRINCESS AVE
N LAS VEGAS, NV
ZIP 89030-809
Phone: (702) 573-5812

The provider's authorized official is Phyllis Jones-jefferson .
The authorized official title is President and has the following contact phone number (702) 573-5812.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 5/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)No
2251B00000XCase ManagementNo
3251V00000XVoluntary or CharitableNo
4261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
5261QG0250XClinic/CenterGeneticsNo
6261QH0100XClinic/CenterHealth ServiceNo
7347C00000XPrivate VehicleNo
81041C0700XSocial WorkerClinicalNo
9103TH0100XPsychologistHealth ServiceNo
10106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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