| Baham Therapeutic Servies, Llc | |
|
23592 Big Branch Dr Ponchatoula LA 70454-5587 | |
| (985) 474-5099 | |
| Not Available |
| Full Name | Baham Therapeutic Servies, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 23592 Big Branch Dr, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Brandyn Baham (OWNER) |
| Authorized Official Contact | 9854745099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baham Therapeutic Servies, Llc Po Box 84 Ponchatoula LA 70454-0084 Ph: () - | Baham Therapeutic Servies, Llc 23592 Big Branch Dr Ponchatoula LA 70454-5587 Ph: (985) 474-5099 |
| NPI Number | 1467386466 |
|---|---|
| Provider Enumeration Date | 06/12/2026 |
| Last Update Date | 06/12/2026 |
| Certification Date | 06/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467386466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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