Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Id Substrate, PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1588387005

Id Substrate, PLLC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 N 32nd Street 100-A
Phoenix, AZ 85018-3033
Phone: (602) 200-8690
Fax: (602) 264-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Forensic Psychologist Taxonomy 103TF0200X
Group Psychotherapy Psychologist Taxonomy 103TP2701X

Record details

NPI number1588387005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Flyn Hayes — Health Care Provider · (602) 405-4622
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing addressPo Box 10044, Phoenix, AZ 85064-0044

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