Bounce Back Therapy, LLC
Organization Active NPI Professional Counselor · Lyons, OR
NPI 1417548736 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1417548736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- BOUNCE BACK THERAPY, LLC
- Practice address
- 11351 Pioneer Rd SE
Lyons, OR 97358-9759 - Phone
- (503) 400-4485
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Cynthia Sue Scott, LLC REGISTERED
- Title
- Ma
- Phone
- (503) 400-4485
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
11351 Pioneer Rd SE
Lyons, OR 97358-9759
Mailing address
11351 Pioneer Rd SE
Lyons, OR 97358-9759
Phone (503) 400-4485
Other providers in Lyons, OR
All providers in Lyons, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.