Healthcare Provider Details

I. General information

NPI: 1730781360
Provider Name (Legal Business Name): TEMPEST THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 KALISTE SALOOM RD STE 203A-H
LAFAYETTE LA
70508-6182
US

IV. Provider business mailing address

1921 KALISTE SALOOM RD STE 203A-H
LAFAYETTE LA
70508-6182
US

V. Phone/Fax

Practice location:
  • Phone: 337-306-4565
  • Fax:
Mailing address:
  • Phone: 337-306-4565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA MOODY
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 337-306-4565