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Contact Information

TYLER CUILLA, LIAC
1515 E CEDAR AVE STE E-2
FLAGSTAFF, AZ86004-1646
 Phone: 928-714-0010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for TYLER CUILLA · (Male)

NPI Number 1376345561
Status Active
Credentials LIAC
Entity Individual
Enumeration date 03/26/2025
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # LIAC-155362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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