MEDICARE: MRS. KEVYLON DELEASE MASON-ARMAND LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	3045-C	NV

General Provider Information

NPI Number	:	1467598227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KEVYLON DELEASE MASON-ARMAND LCSW

Provider Business Mailing Address
First Line	:	8126 VILLA DEL VIENTO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-1664
Country	:	US
Telephone Number	:	702-228-8707
Fax Number	:	702-228-8707

Provider Business Practice Location Address
First Line	:	2320 PASEO DEL PRADO STE B208
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4332
Country	:	US
Telephone Number	:	702-685-0877
Fax Number	:	702-749-5922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/07/2024

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