Madison Marie Ard, BA, CIT

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · New Iberia, LA

NPI 1104516178 · NPPES record last updated May 11, 2023

Key facts

NPI
1104516178
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CIT-5636 (LA)
Practice address
222 W Saint Peter St
New Iberia, LA 70560-3745
Phone
(337) 321-4126
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
CIT-5636LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlake Management, LLC Past
since May 14, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CIT-5636 LA Yes

Addresses

Primary practice location

222 W Saint Peter St
New Iberia, LA 70560-3745

Mailing address

222 W Saint Peter St
New Iberia, LA 70560-3745
Phone (337) 321-4126

Other providers in New Iberia, LA

All providers in New Iberia, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.