Contact Us

*BATON ROUGE

BATON ROUGE
2156 Wooddale Blvd, Suite 750
Baton Rouge, LA 70806

OFFICE: 225-930-8058
Fax: 225-930-8059
Email: info@holisticbh.org

LAFAYETTE
111 Rue Jean Lafitte Suite 108
Lafayette, LA 70508

OFFICE: (337)210-5342
FAX: 225-930-8059
EMAIL: info@holisticbh.org

225-368-9602

* Indicates required field

NAME *

First

Last

Phone Number *

SERVICES INTERESTED IN *

Counseling/Therapy Substance Use Treatment (IOP) Inpatient Services (Youth)

How Would You Like To Be Contacted *

Phone Text Email

Choose A Location *

PROVIDER *

DATE OF BIRTH *

Email *

TELL US A LITTLE MORE *

How Did You Hear About Us? *

Person Completing Form *

Submit