MEDICARE: HELEN V BUSH P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1790676195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN V BUSH P.A.

Provider Business Mailing Address
First Line	:	915 SW 27TH TER
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7913
Country	:	US
Telephone Number	:	561-737-8194
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 SW 27TH TER
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7913
Country	:	US
Telephone Number	:	561-737-8194
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HELEN VIRGINIA BUSH
Credential	:	LCSW
Telephone Number	:	561-737-8194

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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