Healthcare Provider Details

I. General information

NPI: 1538578216
Provider Name (Legal Business Name): YPS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E MAIN ST SUITE 300
NEW IBERIA LA
70560-4046
US

IV. Provider business mailing address

4906 AMBASSADOR CAFFERY PKWY BLDG I
LAFAYETTE LA
70508-7013
US

V. Phone/Fax

Practice location:
  • Phone: 855-300-7525
  • Fax: 866-300-7525
Mailing address:
  • Phone: 985-951-2202
  • Fax: 337-857-6719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN YOUNG
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 855-300-7525