Mr Brad Todd Mattingly, MA, LISAC, CDVC - Counselor in Flagstaff, AZ

Mr Brad Todd Mattingly, MA, LISAC, CDVC is a Counselor - Addiction (substance Use Disorder) based in Flagstaff, Arizona. Mr Brad Todd Mattingly is licensed to practice in Arizona (license number LISAC1135) and his current practice location is 1750 S Woodlands Village Blvd Ste 135, Flagstaff, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 685-6000.

NPI number for Mr Brad Todd Mattingly is 1386994564 and his current mailing address is 3003 N Central Ave Ste 400, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386994564.

Contact Information

Mr Brad Todd Mattingly, MA, LISAC, CDVC
1750 S Woodlands Village Blvd Ste 135,
Flagstaff, AZ 86001-2699
(602) 685-6000
(928) 679-2181

Map and Direction


Healthcare Provider's Profile

Full NameMr Brad Todd Mattingly
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1750 S Woodlands Village Blvd Ste 135, Flagstaff, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386994564
  • Provider Enumeration Date: 09/14/2012
  • Last Update Date: 11/07/2023

Medical Identifiers

Medical identifiers for Mr Brad Todd Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386994564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LISAC1135 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brad Todd Mattingly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Brad Todd Mattingly, MA, LISAC, CDVC
3003 N Central Ave Ste 400,
Phoenix, AZ 85012-2929

Ph: (602) 685-6000
Mr Brad Todd Mattingly, MA, LISAC, CDVC
1750 S Woodlands Village Blvd Ste 135,
Flagstaff, AZ 86001-2699

Ph: (602) 685-6000

Reviews and Comments


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