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

Tyler Cuilla, LIAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376345561

Tyler Cuilla, LIAC is an Undefined Non-Physician Type (Specify) in Flagstaff, Arizona. Qualified in 2022, 4 years ago. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

1515 E Cedar Ave Ste E-2
Flagstaff, AZ 86004-1646
Phone: (928) 714-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LIAC-155362 (AZ)

Record details

NPI number1376345561
Entity typeIndividual (Type 1)
GenderMale
Credentials LIAC
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address9116 W Arden Ln, Bellemont, AZ 86015-5021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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