Healthcare Provider Details

I. General information

NPI: 1033045992
Provider Name (Legal Business Name): BAYOU WELLNESS PSYCHIATRIC GROUP L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 W PINHOOK RD STE 201
LAFAYETTE LA
70508-3211
US

IV. Provider business mailing address

2020 W PINHOOK RD STE 201
LAFAYETTE LA
70508-3211
US

V. Phone/Fax

Practice location:
  • Phone: 337-895-9779
  • Fax:
Mailing address:
  • Phone: 337-895-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HEIDI ROMERO
Title or Position: NURSE PRACTITIONER
Credential: PMHNP
Phone: 337-278-6916