Healthcare Provider Details

I. General information

NPI: 1306906201
Provider Name (Legal Business Name): BANTI C.V. ZEHYOUE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MAIN ST STE 2200
BATON ROUGE LA
70801-0014
US

IV. Provider business mailing address

10876 WHITE OAK DR
BATON ROUGE LA
70815-1560
US

V. Phone/Fax

Practice location:
  • Phone: 332-273-7360
  • Fax:
Mailing address:
  • Phone: 225-933-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200003279
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW004403
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW123858
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9257
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: