Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore Bush IV

Individual provider Pastoral Counselor · NPI 1396116562

Dr. Theodore Bush IV is a Pastoral Counselor in New Orleans, Louisiana. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

209 N Broad St Ste A
New Orleans, LA 70119
Phone: (504) 577-1154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2740 Iberville St, New Orleans, LA 70119-5516 — (504) 821-8184

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Pastoral Counselor Taxonomy 101YP1600X · Licence 101YP1600X

Record details

NPI number1396116562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2015
Last updated in NPPESJune 1, 2018

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