Provider Demographics
NPI:1578452439
Name:VIGNE, ANNETRIST
Entity type:Individual
Prefix:
First Name:ANNETRIST
Middle Name:
Last Name:VIGNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-4919
Mailing Address - Country:US
Mailing Address - Phone:504-502-2247
Mailing Address - Fax:
Practice Address - Street 1:1923 LAUREL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-4919
Practice Address - Country:US
Practice Address - Phone:504-502-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician