Healthcare Provider Details

I. General information

NPI: 1538096409
Provider Name (Legal Business Name): BRIONNE THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 S SALCEDO ST
NEW ORLEANS LA
70125-2854
US

IV. Provider business mailing address

509 INDEPENDENCE DR
HOUMA LA
70360-2546
US

V. Phone/Fax

Practice location:
  • Phone: 504-821-0053
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: