IndividualActive
Gladys Bush, HEALTH COACH CCMA
NPI 1891326690 · Prevention Professional · Shreveport, LA
Provider details
- NPI number
- 1891326690
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- HEALTH COACH CCMA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60312804 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
9501 Chase Way
Shreveport, LA 71118-4619
Phone: (318) 773-0657
Fax: (318) 688-1559
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19284
Shreveport, LA 71149-0284
Registry dates
- Enumerated
- 2020-01-30
- Last updated
- 2020-01-30
- Certified
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.