Organization
ACADIANA CENTER FOR BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A FORMAN LCSW (OWNER)
(337) 315-7927
Entity
Organization
Contact information
Practice address
143 RIDGEWAY DR STE 304, LAFAYETTE, LA 70503-3495
(337) 315-7927
(337) 270-6306
Mailing address
PO BOX 91502, LAFAYETTE, LA 70509-1502
(337) 315-7927
(337) 270-6306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7734
LA
Other
Enumeration date
01/25/2014
Last updated
04/22/2026
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