KELLY FLATTUM LADC NPI 1093157471

NPI Information

  • NPI: 1093157471
  • Provider Name: KELLY FLATTUM, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1900 SILVER LAKE RD NW
    SUITE 110
    NEW BRIGHTON, MN
    ZIP 55112
  • Phone: (651) 628-9566

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NPI Details

Kelly Flattum, LADC is an addiction (substance use disorder) counselor in New Brighton, MN. Kelly Flattum, LADC NPI is 1093157471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON, MN
ZIP 55112-786
Phone: (651) 628-9566
Fax: (651) 628-0411

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)301614MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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