Von Diagnostic and Counseling,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 7031-C Issued in NV

Legal business name

VON DIAGNOSTIC AND COUNSELING,LLC

Practice address

4560 S Eastern Ave
Suite 13
Las Vegas, NV 89119-6182

Phone

(702) 613-7060

NPI assigned

Sep 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phyllis Montavon, LCSW, LADCNPI 1235364522

Title

Therapist

Phone

(702) 917-0367

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis Montavon, PSY.D., LCSW, LCADC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1235364522

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441497600000",
    "number": "1659749786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 JEWEL CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228328",
            "telephone_number": "702-917-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 S EASTERN AVE",
            "address_2": "SUITE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196182",
            "telephone_number": "702-613-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VON DIAGNOSTIC AND COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-06",
        "last_updated": "2015-09-06",
        "status": "A",
        "authorized_official_last_name": "MONTAVON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "702-917-0367",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "LADC 01322-L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "LCSW 7031-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desi Volle, (MD)
• Sarah Denise Vollmer, DPT
• Ivy Rose Hernal Volonte
• Volta Delivery & Hauling Services LLC
• T'Gellen Von Brandt
• Nostaligelia Minkalah Von Goszknovffczevich Heidler
• Kurt Matthew Von Hartleben, MD
• Laurin Nicole Von Krueger
• Caryl Von Rueden-Bossart, M.S., LMFT
• Haley Noelle Von Schottenstein, OT

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.