Provider Demographics
NPI:1194065037
Name:BEEHIVE BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:BEEHIVE BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOURGEOIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:985-293-7401
Mailing Address - Street 1:PO BOX 7093
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70361-7093
Mailing Address - Country:US
Mailing Address - Phone:985-293-7401
Mailing Address - Fax:985-293-7840
Practice Address - Street 1:801 BARROW ST
Practice Address - Street 2:SUITE 313
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4764
Practice Address - Country:US
Practice Address - Phone:985-293-7401
Practice Address - Fax:985-293-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health