Organization
SCOTT D BUSH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT D BUSH PHD, LMHC (OWNR)
(407) 230-4949
Entity
Organization
Contact information
Practice address
21001 REINDEER RD, CHRISTMAS, FL 32709-9122
(407) 230-4949
Mailing address
21001 REINDEER RD, CHRISTMAS, FL 32709-9122
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH10961
FL
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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