Bayou Roots Therapy Collective LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BAYOU ROOTS THERAPY COLLECTIVE LLC

Practice address

117 Heymann Blvd Ste 14
Lafayette, LA 70503-2397

Phone

(337) 385-0405

Fax

(337) 385-0405

NPI assigned

Jun 20, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie HerholdNPI 1730425687

Title

Owner

Phone

(337) 278-0786

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Theriot Herhold, LCSW

  • Clinical Social Worker
  • Gulf Shores, AL
  • NPI 1730425687
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1033006184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365470055",
            "telephone_number": "337-278-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HEYMANN BLVD STE 14",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032397",
            "telephone_number": "337-385-0405",
            "fax_number": "337-385-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU ROOTS THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "HERHOLD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-278-0786"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "9349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Bayer
• Elizabeth Bayless, RN
• Bayou Child and Family Services
• Bayou Kidney Care LLC
• Bayou Orthocare LLC
• Bayou Smiles of Lafayette
• Bayou State Home Care
• Bayou Vision Associates, LLC
• Bayou Wellness Psychiatric Group L.L.C.
• Adrian Inez Baytop, MA

• Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.