# DR. PHYLLIS MONTAVON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235364522
- **Gender:** F
- **Credential:** PSY.D., LCSW, LCADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LADC - 01322-L | NV | — |
| 1041C0700X | Clinical Social Worker | LCSW 7031-C | NV | Yes |

## Other

- **Enumeration date:** 05/15/2009
- **Last updated:** 02/07/2025