Organization Active NPI

Woodlake Management, LLC

Doing business as Woodlake Addiction Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Ethel, LA
National Provider Identifier
1053648774
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
156 Issued in LA
Legal business name
WOODLAKE MANAGEMENT, LLC
Doing business as
Woodlake Addiction Recovery Center
Practice address
3015 Highway 956
Ethel, LA 70730-4520
Phone
(225) 681-4144
Fax
(225) 682-4142
NPI assigned
Nov 17, 2009
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy Chapman
Title
Business Operations
Phone
(225) 900-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 156 LA Primary

Addresses

Primary practice location

3015 Highway 956
Ethel, LA 70730-4520

Mailing address

3015 Highway 956
Ethel, LA 70730-4520
Phone (225) 924-1910

Other identifiers 1

IdentifierTypeStateIssuer
6886732MedicaidLA

Other names 1

  • Woodlake Addiction Recovery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611002546 LA Part B Supplier - Clinic/Group Practice 9739481649 Receives reassigned benefits from 1 practitioner
Practice locations: New Iberia, LA; Hammond, LA; Ethel, LA; Baton Rouge, LA; Abbeville, LA; Denham Springs, LA

National Provider Directory

National Provider Directory

Locations

306 N Hospital Dr
Abbeville, LA 70510

222 W Saint Peter St
New Iberia, LA 70560
Phone (337) 321-4126

24655 Plaza Dr
Ste 1
Plaquemine, LA 70764

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1053648774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 956",
            "city": "ETHEL",
            "state": "LA",
            "postal_code": "707304520",
            "telephone_number": "225-924-1910",
            "fax_number": "225-924-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 956",
            "city": "ETHEL",
            "state": "LA",
            "postal_code": "707304520",
            "telephone_number": "225-681-4144",
            "fax_number": "225-682-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "225-900-8923"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6886732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Addiction Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ethel, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.