Provider Demographics
NPI:1386809515
Name:BEZET, CASSANDRA M (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:M
Last Name:BEZET
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:M
Other - Last Name:BEZET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:8595 PICARDY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3670
Mailing Address - Country:US
Mailing Address - Phone:225-767-0822
Mailing Address - Fax:225-769-5424
Practice Address - Street 1:8595 PICARDY AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3670
Practice Address - Country:US
Practice Address - Phone:225-767-0822
Practice Address - Fax:225-769-5424
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5043101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor