Provider Demographics
NPI:1124809389
Name:BUSH & HILLIARD EXCEPTIONAL CARE COUNSELING, LLC
Entity type:Organization
Organization Name:BUSH & HILLIARD EXCEPTIONAL CARE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-993-3021
Mailing Address - Street 1:147 MOSS HILL TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6426
Mailing Address - Country:US
Mailing Address - Phone:225-993-3021
Mailing Address - Fax:
Practice Address - Street 1:147 MOSS HILL TERRACE RD
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6426
Practice Address - Country:US
Practice Address - Phone:225-993-3021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)