BAYOU BEHAVIORAL HEALTH LLC (NPI# 1952804908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952804908 |
| Entity Type | Organization |
| Organization Name | BAYOU BEHAVIORAL HEALTH LLC |
| Other Organization Name | BAYOU BEHAVIORAL HEALTH LLC |
| Practice Address |
505 E Travis St Ste 112 Marshall TX 75670-4280 |
| Practice Telephone | 3185880060 |
| Mailing Telephone | 3185880060 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | MARDOSHA PEEK (CEO) |
| Authorized Official Telephone | 3185880060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bayou Behavioral Health LLc | Former Legal Business Name - Organization |
| Street Address |
505 E TRAVIS ST STE 112 |
| City | MARSHALL |
| State | TX |
| Zip Code | 75670-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538729215 | Harmony Faith Ministries | Community/Behavioral Health | 505 E Travis St Ste 112, Marshall, TX 75670-4280 | 2019-06-16 |
| 1093295719 | Oteka Jackson-cenales | Nurse Practitioner | 505 E Travis St Ste 112, Marshall, TX 75670-4280 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| Find all providers in zip 75670 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1528503935 | Bobby Messer | Counselor | 2838 Revere Rd, Marshall, NC 28753-4603 | 2016-12-21 |
| 1588034771 | Candice Michelle Hall | Counselor | 1006 E End Blvd N Ste C, Marshall, TX 75670-2127 | 2015-09-30 |
| 1922499078 | Jeremy Adler | Counselor | 109 S 5th St Ste 400, Marshall, MN 56258-1293 | 2015-02-11 |
| 1841431160 | Danah Elizabeth Mcgrath | Counselor | 7426 Leeds Manor Rd., Marshall, VA 20115 | 2009-03-17 |
| 1821255894 | Marilyn Talbott | Counselor | 1006 S 6th St, Marshall, IL 62441-1829 | 2008-05-19 |
| 1134330392 | Counseling and Psychological Services of East Texas, PC | Counselor | 301 N Wellington St, Marshall, TX 75670-3335 | 2007-05-26 |
| 1134336746 | Judith Evans Clair | Counselor | 9024 Fletchers Mill Rd, Marshall, VA 20115-2035 | 2007-05-16 |
| 1447372933 | Southwestern Minnesota Adult Mental Health Consortium | Counselor | 1400 E Lyon St, Marshall, MN 56258-2502 | 2007-04-04 |
| 1285786459 | Linda Carol Anderson | Counselor | 1222 Colgrove, Marshall, MI 49068-1341 | 2007-01-17 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.