Malik Brandon Ashe, LACT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Chandler, AZ
NPI 1013867779 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1013867779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LACT-15205 (AZ)
- Practice address
- 25 S Arizona PL
Chandler, AZ 85225-5533 - Phone
- (602) 345-1337
- NPI assigned
- Feb 2, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LACT-15205 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LACT-15205 | AZ | Yes |
Addresses
Primary practice location
25 S Arizona PL
Chandler, AZ 85225-5533
Mailing address
25 S Arizona PL
Chandler, AZ 85225-5533
Phone (602) 345-1337
Other providers in Chandler, AZ
- Asfour Peer Recovery Support LLC
- David John Asfour
- Anupa R. Ashar
- Preston F Ashby
- Jordan Ashcraft
- Samantha Asher
- Darshay Ashford
- Naramsin Ashoormaram
- Muhammad Ashraf
- Sana Ashtiani
All providers in Chandler, AZ · Addiction (Substance Use Disorder) Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.