Individual provider · Type 1 NPI

Lea R. Bush

Peer Specialist · Jacksonville, FL

NPI number 1164307997 Active

Practice location

14600 Whirlwind Ave
Jacksonville, FL 32218-9437

Call (904) 447-7577 Map

Mailing address

4408 Sun Lily Ct
Jacksonville, FL 32257-8099

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1164307997

Lea R. Bush's National Provider Identifier is 1164307997, issued on Aug 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 11, 2025.