MICHEAL DEAN LUTTRULL LAAC
NPI 1821552266
Counselor - Addiction (Substance Use Disorder) in San Tan Valley, AZ

Active since January 30, 2019
31636 N CACTUS DR, SAN TAN VALLEY, AZ 85143(480) 522-0566 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Mar 1, 2022, Jan 30, 2019 (3 updates tracked since 2019).

About Micheal Dean Luttrull Laac NPPES

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

MICHEAL DEAN LUTTRULL LAAC (NPI 1821552266) is an individual addiction (substance use disorder) provider in San Tan Valley, Arizona, licensed in Arizona (LAAC-15461) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1821552266
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHEAL DEAN LUTTRULLCredential: LAAC
Location Address31636 N CACTUS DRSan Tan Valley, AZ 85143-7242
Mailing Address31636 N Cactus DrSan Tan Valley, AZ 85143-7242 · (480) 522-0566
Sole ProprietorNo
Enumeration DateJanuary 30, 2019
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1821552266 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
Licenses Licensed in AZ · LAAC-15461 Licensed in WA · CO60703545 Licensed in WA · CP60969656
31636 N CACTUS DR, San Tan Valley, AZ 85143

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
31636 N CACTUS DR
SAN TAN VALLEY, AZ 85143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micheal Luttrull's NPI number?

The NPI number for Micheal Luttrull is 1821552266. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Micheal Luttrull located?

Micheal Luttrull practices at 31636 N Cactus Dr, San Tan Valley, AZ 85143. The listed phone number is (480) 522-0566.

What is Micheal Luttrull's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Micheal Luttrull was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.