Organization
BAHAM THERAPEUTIC SERVIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDYN BAHAM LCSW (OWNER)
(985) 474-5099
Entity
Organization
Contact information
Practice address
23592 BIG BRANCH DR, PONCHATOULA, LA 70454-5587
(985) 474-5099
Mailing address
PO BOX 84, PONCHATOULA, LA 70454-0084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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