Acadiana Center for Behavioral Health LLC

Organization Active NPI Clinical Social Worker · Lafayette, LA

NPI 1285057323 · NPPES record last updated Apr 22, 2026

Key facts

NPI
1285057323
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
7734 (LA)
Legal business name
ACADIANA CENTER FOR BEHAVIORAL HEALTH LLC
Practice address
143 Ridgeway Dr Ste 304
Lafayette, LA 70503-3495
Phone
(337) 315-7927
Fax
(337) 270-6306
NPI assigned
Jan 25, 2014
Organization subpart
No

Authorized official

Name
Chris A Forman, LCSW
Title
Owner
Phone
(337) 315-7927

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180427000606 LA Part B Supplier - Clinic/Group Practice 4486918489 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

Locations

515 W University Ave
Lafayette, LA 70506

141 Ridgeway Dr
Ste 108
Lafayette, LA 70503
Phone (337) 315-4061

143 Ridgeway Dr
Ste 304
Lafayette, LA 70503
Phone (337) 989-9144

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 7734 LA Yes

Addresses

Primary practice location

143 Ridgeway Dr Ste 304
Lafayette, LA 70503-3495

Mailing address

PO Box 91502
Lafayette, LA 70509-1502
Phone (337) 315-7927

Other providers in Lafayette, LA

All providers in Lafayette, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.