Bayou Roots Integrated Care

LBN: Bayou Roots Integrated Care
Bayou Roots Integrated Care is an health care organization with primary practice located at 3714 Louisiana Ave , Lake Charles LA 70607-3044. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Bayou Roots Integrated Care can be contacted via phone (337) 391-9976, or through Montgomery, Ashley Antionette via phone (337) 391-9976.

Contact Information

Primary practice address
3714 Louisiana Ave Lake Charles LA 70607-3044
Phone: (337) 391-9976
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Ashley Antionette PMHNP-BC
Phone: (337) 391-9976

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1720990047
LBN Legal business name Bayou Roots Integrated Care
DBA Doing business as
Authorized official Montgomery, Ashley Antionette PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2026
Last updated Sep 21st, 2026 - about last week

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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