MEDICARE: BAYOU WELLNESS PSYCHIATRIC GROUP L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	2084P0805X	Geriatric Psychiatry Physician
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1033045992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYOU WELLNESS PSYCHIATRIC GROUP L.L.C.

Provider Business Mailing Address
First Line	:	2020 W PINHOOK RD STE 201
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3211
Country	:	US
Telephone Number	:	337-895-9779
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W PINHOOK RD STE 201
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3211
Country	:	US
Telephone Number	:	337-895-9779
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	HEIDI ROMERO
Credential	:	PMHNP
Telephone Number	:	337-278-6916

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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