BOUNCE BACK THERAPY LLC NPI 1417548736

NPI Information

  • NPI: 1417548736
  • Provider Name: BOUNCE BACK THERAPY, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 11351 PIONEER RD SE
    LYONS, OR
    ZIP 97358
  • Phone: (503) 400-4485

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NPI Details

BOUNCE BACK THERAPY, LLC is a professional counselor in Lyons, OR. BOUNCE BACK THERAPY, LLC NPI is 1417548736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11351 PIONEER RD SE
LYONS, OR
ZIP 97358-759
Phone: (503) 400-4485

The provider's authorized official is Cynthia Sue Scott .
The authorized official title is Ma and has the following contact phone number (503) 400-4485.

The enumeration date for this NPI number is 1/29/2021 and was last updated on 7/26/2023.

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
1101YP2500XCounselorProfessionalYes

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: 3/30/2025

NPI Synchronization or Removal

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