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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