# VON DIAGNOSTIC AND COUNSELING,LLC

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

## Provider details

- **NPI number:** 1659749786
- **Authorized official:** PHYLLIS MONTAVON LCSW, LADC (THERAPIST)
- **Authorized official phone:** (702) 917-0367

## Contact information

- **Practice address:** 4560 S EASTERN AVE, SUITE 13, LAS VEGAS, NV 89119-6182
- **Practice address phone:** (702) 613-7060
- **Mailing address:** 5172 JEWEL CANYON DR, LAS VEGAS, NV 89122-8328
- **Mailing address phone:** (702) 917-0367

## 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:** 09/06/2015
- **Last updated:** 09/06/2015