Provider Demographics
NPI:1295023315
Name:ARCENEAUX-MYERS, MELISSA MARIE (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:ARCENEAUX-MYERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 ORMOND BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-3800
Mailing Address - Country:US
Mailing Address - Phone:985-764-4004
Mailing Address - Fax:985-725-3300
Practice Address - Street 1:1950 ORMOND BLVD STE A
Practice Address - Street 2:
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047
Practice Address - Country:US
Practice Address - Phone:985-764-4004
Practice Address - Fax:985-725-3300
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor