Provider Demographics
NPI:1144041278
Name:OMNI PSYCHIATRIC & WELLNESS GROUP LLC
Entity type:Organization
Organization Name:OMNI PSYCHIATRIC & WELLNESS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRYANT
Authorized Official - Middle Name:
Authorized Official - Last Name:DRONETTE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC, FNP-C, MBA
Authorized Official - Phone:337-298-2773
Mailing Address - Street 1:142 HUNDRED OAKS DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5481
Mailing Address - Country:US
Mailing Address - Phone:337-298-2773
Mailing Address - Fax:
Practice Address - Street 1:100 ASMA BLVD STE 200E
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3858
Practice Address - Country:US
Practice Address - Phone:337-504-2332
Practice Address - Fax:337-504-4748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP08061OtherADVANCED PRACTICE NURSE
LA101027OtherREGISTERED NURSE
LA2381679Medicaid