Provider Demographics
NPI:1831933852
Name:LABAT, BETHANY GRIFFIN (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:GRIFFIN
Last Name:LABAT
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:LABAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP
Mailing Address - Street 1:157 TWIN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394-2761
Mailing Address - Country:US
Mailing Address - Phone:985-537-6823
Mailing Address - Fax:985-537-8704
Practice Address - Street 1:157 TWIN OAKS DR
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394-2761
Practice Address - Country:US
Practice Address - Phone:985-537-6823
Practice Address - Fax:985-537-8704
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA236036363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health