Healthcare Provider Details

I. General information

NPI: 1780232579
Provider Name (Legal Business Name): BRITTANY INEZ YOUNG PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3313 SQUIREWOOD DR N
HARVEY LA
70058-7480
US

IV. Provider business mailing address

4465 BAY VIEW DRIVE
MARRERO LA
70072
US

V. Phone/Fax

Practice location:
  • Phone: 504-430-8499
  • Fax:
Mailing address:
  • Phone: 504-430-8499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number240137
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: