Healthcare Provider Details

I. General information

NPI: 1891435996
Provider Name (Legal Business Name): BRITTANY PEOPLES MASTERS OF SW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 RIVERSIDE DR
MONROE LA
71201-6211
US

IV. Provider business mailing address

1701 LAMY LN
MONROE LA
71201-3737
US

V. Phone/Fax

Practice location:
  • Phone: 337-794-6090
  • Fax:
Mailing address:
  • Phone: 318-329-0240
  • Fax: 318-329-0239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17308
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: