Basic Information
| Provider Information | |||||||||
| NPI: | 1386809515 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEZET | ||||||||
| FirstName: | CASSANDRA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MSW, LCSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BEZET | ||||||||
| OtherFirstName: | SANDY | ||||||||
| OtherMiddleName: | M | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MSW, LCSW | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8595 PICARDY AVE | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708093670 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257670822 | ||||||||
| FaxNumber: | 2257695424 | ||||||||
| Practice Location | |||||||||
| Address1: | 8595 PICARDY AVE | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708093670 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257670822 | ||||||||
| FaxNumber: | 2257695424 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2008 | ||||||||
| LastUpdateDate: | 07/28/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 5043 | LA | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.