Healthcare Provider Details

I. General information

NPI: 1013822360
Provider Name (Legal Business Name): BRINEY PERRILLOUX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BREE PERRILLOUX PLPC

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 W AIRLINE HWY STE I
LA PLACE LA
70068-3817
US

IV. Provider business mailing address

315 LAC CYPRIERE DR
LULING LA
70070-7200
US

V. Phone/Fax

Practice location:
  • Phone: 985-224-3691
  • Fax:
Mailing address:
  • Phone: 504-515-2230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC11408
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: