Provider Demographics
NPI:1205389590
Name:BOUNOUS, REBECCA JOY (LCSW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JOY
Last Name:BOUNOUS
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1784 YORK INSTITUTE RD
Mailing Address - Street 2:
Mailing Address - City:HIDDENITE
Mailing Address - State:NC
Mailing Address - Zip Code:28636-4170
Mailing Address - Country:US
Mailing Address - Phone:704-402-5807
Mailing Address - Fax:
Practice Address - Street 1:439 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6124
Practice Address - Country:US
Practice Address - Phone:828-322-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0108251041C0700X
NCC0126281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical