Bouncing Back LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Blackwood, New Jersey
1538620034- Practice location
- 340 Hidden Dr, Blackwood, NJ 08012-4443
- Phone
- 856-254-0122
- Fax
- 856-369-8970
- Last updated
- March 27, 2019
Bouncing Back LLC is a healthcare organization based in Blackwood, NJ. Bouncing Back LLC practices in Blackwood, NJ. The NPI Number for Bouncing Back LLC is 1538620034. The current practice location address for Bouncing Back LLC is 340 Hidden Dr, Blackwood, NJ 08012-4443 and can be reached out via phone at 856-254-0122 and via fax at 856-369-8970.
Provider Profile Details
- NPI Number
- 1538620034
- Provider Name
- Bouncing Back LLC
- Provider Entity Type
- Organization
- Address
- 340 Hidden Dr, Blackwood, NJ 08012-4443
- Phone Number
- 856-254-0122
- Fax Number
- 856-369-8970
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mrs. Crystal Hawkins, MA, LPC, LCADC · Owner · 856-254-0122
- Provider Enumeration Date
- March 27, 2019
- Last Update Date
- March 27, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 Hidden Dr
Blackwood, NJ 08012-4443 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-4443
- Phone Number
- 856-254-0122
- Fax Number
- 856-369-8970
Provider Business Mailing Address Details
- Address
- 340 Hidden Dr
Blackwood, NJ 08012-4443 - City
- Blackwood
- State
- NJ
- Zip
- 08012-4443
- Phone Number
- 856-254-0122
- Fax Number
- 856-369-8970
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bouncing Back LLC?
The NPI number of Bouncing Back LLC is 1538620034. It was assigned on March 27, 2019 and is currently active in the NPPES registry.
What is the specialty of Bouncing Back LLC?
Bouncing Back LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Bouncing Back LLC practice?
The practice location is 340 Hidden Dr, Blackwood, NJ 08012-4443. The office can be reached at 856-254-0122 (phone) or 856-369-8970 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538620034 directly on the NPPES registry website.