Provider Demographics
NPI:1750068698
Name:WHITE, BRITTANY (RSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 CLUBHOUSE DR APT G7
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3588
Mailing Address - Country:US
Mailing Address - Phone:318-229-2843
Mailing Address - Fax:
Practice Address - Street 1:4325 CLUBHOUSE DR APT G7
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3588
Practice Address - Country:US
Practice Address - Phone:318-229-2843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator