Healthcare Provider Details

I. General information

NPI: 1023929833
Provider Name (Legal Business Name): BACS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 RIDGEWAY DR STE 218
LAFAYETTE LA
70503-3494
US

IV. Provider business mailing address

143 RIDGEWAY DR STE 218
LAFAYETTE LA
70503-3494
US

V. Phone/Fax

Practice location:
  • Phone: 337-306-3366
  • Fax:
Mailing address:
  • Phone: 337-306-3366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH A EWING
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPC
Phone: 318-245-5808