MEDICARE: BRIANISHA RUSSELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		LA

General Provider Information

NPI Number	:	1750221578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANISHA RUSSELL

Provider Business Mailing Address
First Line	:	2239 PORT ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-6941
Country	:	US
Telephone Number	:	504-430-7776
Fax Number	:

Provider Business Practice Location Address
First Line	:	2239 PORT ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-6941
Country	:	US
Telephone Number	:	504-430-7776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

Similar Medicare Providers

1851413876 — KENNISE REED
Practice Location Address:

4480 GENERAL DEGAULLE DR , SUITE 107
NEW ORLEANS, LA
70131-6941

Practice Phone: 504-394-7700
Practice Fax: 504-394-7058

1023217403 — ROBERT VARNADO PSYCHIATRIC SERVICES, LLC
Practice Location Address:

4480 GENERAL DEGAULLE DR , SUITE 107
NEW ORLEANS, LA
70131-6941

Practice Phone: 504-393-6355
Practice Fax: 504-393-6388

1427246719 — SUPERB HEALTHCARE INC.
Practice Location Address:

4480 GENERAL DEGAULLE DR
NEW ORLEANS, LA
70131-6941

Practice Phone: 504-975-1242
Practice Fax: 504-367-8592

1093999849 — KAWANA C RIPOLL LCSW
Practice Location Address:

4480 GENERAL DEGAULLE DR , STE 222-A
NEW ORLEANS, LA
70131-6941

Practice Phone: 504-655-9260
Practice Fax:

1609032572 — KENNISE REED
Practice Location Address:

4480 GENERAL DEGAULLE DR , SUITE 114
NEW ORLEANS, LA
70131-6941

Practice Phone: 504-394-7700
Practice Fax: 504-394-7058

1255589545 — KENNISE REED
Practice Location Address:

4480 GENERAL DEGAULLE DR , STE 114
NEW ORLEANS, LA
70131-6941

Practice Phone: 504-394-7700
Practice Fax:

Directions to “ BRIANISHA RUSSELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.