Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bayou Roots Integrated Care

Organization Psychiatry Physician · NPI 1720990047

Bayou Roots Integrated Care provides Psychiatry Physician services in Lake Charles, Louisiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3714 Louisiana Ave
Lake Charles, LA 70607-3044
Phone: (337) 391-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1720990047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Montgomery — Owner · (337) 391-9976
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026
Mailing addressPo Box 143, Lake Charles, LA 70602-0143

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