GLADYS T BUSH HEALTH COACH CCMA
NPI 1891326690
Prevention Professional in Shreveport, LA

Q: What is Gladys Bush's NPI number?

The NPI number for Gladys Bush is 1891326690. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Gladys Bush's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Q: When was this NPI record last updated?

The NPPES record for Gladys Bush was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2020

9501 CHASE WAY, SHREVEPORT, LA 71118(318) 773-0657(318) 688-1559 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gladys T Bush Health Coach Ccma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLADYS T BUSH HEALTH COACH CCMA (NPI 1891326690) is an individual prevention professional provider in Shreveport, Louisiana, licensed in New York (60312804) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1891326690

Entity TypeIndividualFemale

Primary Taxonomy405300000X

Provider Legal NameGLADYS T BUSHCredential: HEALTH COACH CCMA

Location Address9501 CHASE WAYShreveport, LA 71118-4619

Mailing AddressPo Box 19284Shreveport, LA 71149-0284 · (318) 773-0657

Phone(318) 773-0657

Fax(318) 688-1559

Sole ProprietorYes

Enumeration DateJanuary 30, 2020

✔ NPI 1891326690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

License✔ Licensed in NY · 60312804

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

9501 CHASE WAY, Shreveport, LA 71118

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Other Identifiers 1

OtherK5C6Y6M8LA · Ccma

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCELLENCE PHYSICIAN BILLING

Supports Brokerage

9501 CHASE WAY
SHREVEPORT, LA 71118

Caddo Parish (318) 773-0657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gladys Bush's NPI number?

The NPI number for Gladys Bush is 1891326690. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Gladys Bush located?

Gladys Bush practices at 9501 Chase Way, Shreveport, LA 71118. The listed phone number is (318) 773-0657.

What is Gladys Bush's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Gladys Bush was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.