Provider Demographics
NPI:1316830409
Name:MAD PLUME, ERIKA JADE (SWLC, ACLC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:JADE
Last Name:MAD PLUME
Suffix:
Gender:F
Credentials:SWLC, ACLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 856
Mailing Address - Street 2:
Mailing Address - City:BROWNING
Mailing Address - State:MT
Mailing Address - Zip Code:59417-0856
Mailing Address - Country:US
Mailing Address - Phone:406-338-3200
Mailing Address - Fax:
Practice Address - Street 1:210 US HIGHWAY 89 W
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417-8233
Practice Address - Country:US
Practice Address - Phone:406-338-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-ACLC-LIC-78821101YA0400X
MTBBH-SWLC-LIC-799861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)