BOUNCING BACK COUNSELING INC NPI 1396238051

NPI Information

  • NPI: 1396238051
  • Provider Name: BOUNCING BACK COUNSELING INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: BOUNCING BACK COUNSELING, INC
  • CLIA Number: 18D2166432
  • Address: 375 TOWN BRANCH RD STE 2
    MANCHESTER, KY
    ZIP 40962
  • Phone: (606) 598-0070

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NPI Details

BOUNCING BACK COUNSELING INC is a substance abuse rehabilitation facility in Manchester, KY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BOUNCING BACK COUNSELING INC NPI is 1396238051. The provider is registered as an organization entity type.
The provider Is Doing Business As Bouncing Back Counseling, Inc.

The provider's business location address is:

375 TOWN BRANCH RD STE 2
MANCHESTER, KY
ZIP 40962-326
Phone: (606) 598-0070
Fax: (844) 373-1765

The provider's authorized official is Cheryl K. Gibson .
The authorized official title is Ceo/president and has the following contact phone number (606) 598-0070.

The CLIA number assigned to this NPI record is 18D2166432 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 1/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility810612KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100564200MEDICAIDKENTUCKY
2NAOTHERKENTUCKYSELF PAY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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