TYRONE JON KAY LADAC
NPI 1124756267
Counselor - Addiction (Substance Use Disorder) in Gallup, NM

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since August 08, 2022

300 W NIZHONI BLVD STE A, GALLUP, NM 87301(505) 722-9470(505) 722-9570 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2025, Aug 8, 2022 (2 updates tracked since 2022).

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About Tyrone Jon Kay Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRONE JON KAY LADAC (NPI 1124756267) is an individual addiction (substance use disorder) provider in Gallup, New Mexico, licensed in New Mexico (CAD0225331) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1124756267

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameTYRONE JON KAYCredential: LADAC

Location Address300 W NIZHONI BLVD STE AGallup, NM 87301-5766

Mailing Address300 W Nizhoni Blvd Ste AGallup, NM 87301-5766 · (505) 722-9470 · Fax (505) 722-9570

Phone(505) 722-9470

Fax(505) 722-9570

Sole ProprietorYes

Enumeration DateAugust 8, 2022

Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1124756267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NM · CAD0225331

300 W NIZHONI BLVD STE A, Gallup, NM 87301

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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