National Provider Identifier Database

LEA R BUSH
Other Service Providers

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.


Contact Information

LEA R BUSH
14600 WHIRLWIND AVE
JACKSONVILLE, FL32218-9437
Phone: 904-447-7577
Fax:
Website:
Specialty Taxonomy Code
* Other Service Providers 175T00000X
In Home Supportive Care 253Z00000X
Rehabilitation Practitioner 225400000X

* Indicates primary specialty

NPI Profile & details for LEA R BUSH

NPI Number 1164307997
Credentials
Entity Individual
Enumeration date 08/11/2025
Last updated 08/11/2025 - About 10 months ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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