Organization
HEART OF THE BAYOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER RAYMOND (OWNER)
(985) 991-5377
Entity
Organization
Contact information
Practice address
108 GREEN ST, THIBODAUX, LA 70301-3048
(985) 991-5377
Mailing address
202 COTTAGE WAY, THIBODAUX, LA 70301-3950
(985) 991-5377
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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