MEDICARE: MR. BRANDYN BAHAM LCSW

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	15444	LA

General Provider Information

NPI Number	:	1952001588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRANDYN BAHAM LCSW

Provider Business Mailing Address
First Line	:	23592 BIG BRANCH DR
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-5587
Country	:	US
Telephone Number	:	985-474-5099
Fax Number	:

Provider Business Practice Location Address
First Line	:	23592 BIG BRANCH DR
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-5587
Country	:	US
Telephone Number	:	985-474-5099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	06/11/2026

Similar Medicare Providers

1467386466 — BAHAM THERAPEUTIC SERVIES, LLC
Practice Location Address:

23592 BIG BRANCH DR
PONCHATOULA, LA
70454-5587

Practice Phone: 985-474-5099
Practice Fax:

1063101244 — DR. NISHANT KUMAR ROUT D.P.M.
Practice Location Address:

165 W OAK ST
PONCHATOULA, LA
70454-3328

Practice Phone: 985-986-7900
Practice Fax: 985-386-7999

1194151183 — KATHERINE M CHAUVIN RN, RD, LDN
Practice Location Address:

39568 FLY CREEK RD
PONCHATOULA, LA
70454-6824

Practice Phone: 504-329-5964
Practice Fax:

1396678447 — ANGELICA LIRETTE DPT
Practice Location Address:

132 S 6TH ST
PONCHATOULA, LA
70454-3317

Practice Phone: 985-386-6884
Practice Fax: 985-386-6854

1457354961 — MEMORIAL HOSPICE AND PALLIATIVE CARE OF HAMMOND, LLC
Practice Location Address:

1671 HIGHWAY 51
PONCHATOULA, LA
70454-6376

Practice Phone: 985-386-6150
Practice Fax: 985-386-6162

1932103819 — BENSONS DERMATOLOGY & SKIN CANCER
Practice Location Address:

180 N 5TH ST
PONCHATOULA, LA
70454-2532

Practice Phone: 985-370-7768
Practice Fax:

Directions to “ MR. BRANDYN BAHAM LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.