# INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION

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

## Provider details

- **NPI number:** 1801109418
- **Authorized official:** PHYLLIS JONES-JEFFERSON (PRESIDENT)
- **Authorized official phone:** (702) 573-5812

## Contact information

- **Practice address:** 320 PRINCESS AVE, N LAS VEGAS, NV 89030-3809
- **Practice address phone:** (702) 573-5812
- **Mailing address:** 320 PRINCESS AVE, N LAS VEGAS, NV 89030-3809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QG0250X | Genetics Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 05/27/2011