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

Gladys T Bush, HEALTHCOACHCCMA

Individual provider Prevention Professional · NPI 1891326690

Gladys T Bush, HEALTHCOACHCCMA is a Prevention Professional in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

9501 Chase Way
Shreveport, LA 71118-4619
Phone: (318) 773-0657
Fax: (318) 688-1559
Show map & directions

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

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 60312804 (NY)

Record details

NPI number1891326690
Entity typeIndividual (Type 1)
GenderFemale
Credentials HEALTHCOACHCCMA
Sole proprietorYes
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020