MRS. SHANNON ARDOIN LAC NPI 1790206449

NPI Information

  • NPI: 1790206449
  • Provider Name: MRS. SHANNON ARDOIN, LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 145 VICTORIA DR
    LAKE CHARLES, LA
    ZIP 70611
  • Phone: (337) 855-9773

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NPI Details

MRS. Shannon Ardoin, LAC is an addiction (substance use disorder) counselor in Lake Charles, LA. MRS. Shannon Ardoin, LAC NPI is 1790206449. 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:

145 VICTORIA DR
LAKE CHARLES, LA
ZIP 70611-641
Phone: (337) 855-9773

The enumeration date for this NPI number is 7/3/2017 and was last updated on 3/9/2022.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11378OTHERLOUISIANAADRA
2183OTHERLOUISIANAADRA

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: 3/30/2025

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