| Bounce Back Counseling Services, Llc | |
|
514 28 1/4 Rd Unit 3 Grand Junction CO 81501-4961 | |
| (970) 462-9589 | |
| Not Available |
| Full Name | Bounce Back Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 514 28 1/4 Rd Unit 3, Grand Junction, Colorado |
| Authorized Official Name and Position | Monica Evans (OWNER) |
| Authorized Official Contact | 9704629589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bounce Back Counseling Services, Llc 623 Jet Ct Grand Junction CO 81504-6081 Ph: (970) 462-9589 | Bounce Back Counseling Services, Llc 514 28 1/4 Rd Unit 3 Grand Junction CO 81501-4961 Ph: (970) 462-9589 |
| NPI Number | 1871312314 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 4587194337 |
|---|---|
| Medicare Enrollment ID | O20250207002459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871312314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monica J Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205589108 PECOS PAC ID: 5496285249 Enrollment ID: I20250207002574 |
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