Organization
BAYOU BLOOM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATEISHA CAGE LCSW (OWNER/ LICENSED CLINICAL SOCIAL WOR)
(225) 287-6278
Entity
Organization
Contact information
Practice address
14150 GRAND SETTLEMENT BLVD APT 2307, BATON ROUGE, LA 70818-4333
(225) 287-6278
Mailing address
14150 GRAND SETTLEMENT BLVD APT 2307, BATON ROUGE, LA 70818-4333
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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