Individual provider · Type 1 NPI

Lawanda Rena Bush, PCMHT

Mental Health Counselor · Clarksdale, MS

NPI number 1710688056 Active

Practice location

1742 Cheryl St
Clarksdale, MS 38614-7218

Fax (662) 627-5240

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710688056

Lawanda Rena Bush, PCMHT's National Provider Identifier is 1710688056, issued on Mar 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarksdale, MS. The record was last updated on Sep 29, 2025.