Organization
BOUNCING BACK COUNSELING INC
Active
Organization
BOUNCING BACK COUNSELING INC
Active
Other names
Bouncing Back Counseling, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL K. GIBSON (CEO/PRESIDENT)
(606) 598-0070
Entity
Organization
Contact information
Practice address
375 TOWN BRANCH RD STE 2, MANCHESTER, KY 40962-1326
(606) 598-0070
(844) 373-1765
Mailing address
514 DANVILLE AVE, STANFORD, KY 40484-1104
(606) 598-0070
(844) 373-1765
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
810612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100564200
—
KY
01
—
NA
SELF PAY
KY
Enumeration date
06/07/2018
Last updated
01/21/2023
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