BHG LXII LLC

Provider Demographics

• NPI: 1396454013
• Name: BHG LXII LLC
• Entity type: Organization
• Organization Name: BHG LXII LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CEO
• Authorized Official - First Name: JAY
• Authorized Official - Last Name: HIGHAM
• Authorized Official - Phone: 214-365-6112
• Mailing Address - Street 1: 5001 SPRING VALLEY ROAD
• Mailing Address - Street 2: SUITE 600 EAST
• Mailing Address - City: DALLAS
• Mailing Address - State: TX
• Mailing Address - Zip Code: 75244-3946
• Mailing Address - Country: US
• Mailing Address - Phone: 214-365-6100
• Mailing Address - Fax: 214-365-6150
• Practice Address - Street 1: 115 W MCNEESE ST
• Practice Address - Street 2: SUITE #115, OBOT ROOM 104 AND 105
• Practice Address - City: LAKE CHARLES
• Practice Address - State: LA
• Practice Address - Zip Code: 70605-5635
• Practice Address - Country: US
• Practice Address - Phone: 337-433-8281
• Practice Address - Fax: 337-433-7938
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: BHG LXII LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2022-11-21
• Last Update Date: 2025-07-11

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	207QA0401X	Allopathic & Osteopathic Physicians	Family Medicine	Addiction Medicine	Group - Multi-Specialty
No	207RA0401X	Allopathic & Osteopathic Physicians	Internal Medicine	Addiction Medicine	Group - Multi-Specialty
No	2083A0300X	Allopathic & Osteopathic Physicians	Preventive Medicine	Addiction Medicine	Group - Multi-Specialty
No	2084A0401X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Addiction Medicine	Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty