Organization
INDIVIDUALIZED LEARNING CENTERS LLC
Active
Parent organization
INDIVIDUALIZED LEARNING CENTERS LLC
Other names
Nova Individualized Learning Center, Nova Learning Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIVIDUALIZED LEARNING CENTERS LLC
Authorized official
DR. TERESA DAWN SIMKINS-ARIS EDD (DIRECTOR/OWNER)
(602) 237-5575
Entity
Organization
Contact information
Practice address
2627 E THOMAS RD STE 100, PHOENIX, AZ 85016-8231
(602) 237-5575
(602) 237-5996
Mailing address
2627 E THOMAS RD STE 100, PHOENIX, AZ 85016-8231
(602) 237-5575
(602) 237-5996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
524491
STRUCTURED ENGLISH IMMERSION
AZ
Enumeration date
01/31/2020
Last updated
08/24/2021
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