Healthcare Provider Details

I. General information

NPI: 1588548432
Provider Name (Legal Business Name): ARD BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 N FULTON AVE
BALTIMORE MD
21217-1506
US

IV. Provider business mailing address

1105 N FULTON AVE
BALTIMORE MD
21217-1506
US

V. Phone/Fax

Practice location:
  • Phone: 443-744-5368
  • Fax:
Mailing address:
  • Phone: 443-744-5368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: IRISHA NONE LUCAS
Title or Position: CEO
Credential:
Phone: 443-744-5368