Provider Demographics
NPI:1518423391
Name:TWIGGS, BIANCA RAJINDA (CPHT)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:RAJINDA
Last Name:TWIGGS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LEVRON ST APT 10A
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5572
Mailing Address - Country:US
Mailing Address - Phone:985-360-6231
Mailing Address - Fax:
Practice Address - Street 1:700 LEVRON ST APT 10A
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-5572
Practice Address - Country:US
Practice Address - Phone:985-360-6231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-16
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator