OrganizationVon Diagnostic And Counseling,LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4560 S Eastern Ave, Suite 13, Las Vegas, NV 89119-6182(702) 613-7060(702) 917-0367PECOS EnrollmentBased on the most recent information from CMS, provider Von Diagnostic And Counseling,Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1659749786Provider TypeOrganizationFull NameVon Diagnostic And Counseling,LlcSubpartNoEnumeration Date9/6/2015Last Updated9/6/2015Contact InformationPractice LocationPractice Address4560 S Eastern Ave, Suite 13, Las Vegas, NV 89119-6182Phone(702) 613-7060FaxUnlisted FaxMailing LocationMailing Address5172 Jewel Canyon Dr, Las Vegas, NV 89122-8328Phone(702) 917-0367FaxUnlisted FaxAuthorized OfficialNameMontavon, Phyllis (Therapist)Phone(702) 917-0367Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW 7031-CNevadaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLADC 01322-LNevada