Provider Demographics
NPI:1609350487
Name:ANTOINE, BRITTNY ARIELLE (DACM)
Entity Type:Individual
Prefix:DR
First Name:BRITTNY
Middle Name:ARIELLE
Last Name:ANTOINE
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 HIGHLAND OAKS LANE
Mailing Address - Street 2:APT 202
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-577-0594
Mailing Address - Fax:
Practice Address - Street 1:803 COOLIDGE BLVD STE 128
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2375
Practice Address - Country:US
Practice Address - Phone:337-418-9458
Practice Address - Fax:337-294-0305
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308543171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty