Healthcare Provider Details

I. General information

NPI: 1649850124
Provider Name (Legal Business Name): MEGAN LINDSEY BERGERON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 CIVIC CENTER BLVD
HOUMA LA
70360-5937
US

IV. Provider business mailing address

404 FUNDERBURK AVE
HOUMA LA
70364-1819
US

V. Phone/Fax

Practice location:
  • Phone: 985-333-2020
  • Fax: 985-851-0452
Mailing address:
  • Phone: 985-276-2467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number219208
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: