Provider Demographics
NPI:1639457039
Name:BAYOU CHILD AND FAMILY SERVICES
Entity Type:Organization
Organization Name:BAYOU CHILD AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRANON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-546-0313
Mailing Address - Street 1:16101 WRIGHTS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7635
Mailing Address - Country:US
Mailing Address - Phone:803-546-0313
Mailing Address - Fax:
Practice Address - Street 1:5000 W CONGRESS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6422
Practice Address - Country:US
Practice Address - Phone:803-546-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health