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NPI Code Detail

MEDICARE: RACHEL BUSH

MEDICARE: RACHEL BUSH
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336002203
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BUSH
Provider Business Mailing Address
First Line : 1522 RIPASSO WAY
Second Line :
City : ROCKWALL
State : TX
Zip : 75032-7588
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5220 SPRING VALLEY RD STE 610
Second Line :
City : DALLAS
State : TX
Zip : 75254-3059
Country : US
Telephone Number : 972-953-9895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ RACHEL BUSH ” Practice Location

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