CODY BRYAN
NPI 1275301657
Counselor in Bentonville, AR
- Individual
- Male
- Counselor
About CODY BRYAN
This page provides the complete NPI Profile along with additional information for Cody Bryan, a provider established in Bentonville, Arkansas with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1275301657 assigned on December 2023. The practitioner's primary taxonomy code is 101Y00000X with license number A2310005 (AR). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1275301657 Verify this NPI
- Provider Name
- CODY BRYAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1801 SW REDWOOD AVE BENTONVILLE, AR 72713
- Location Phone
- (479) 755-9748
- Mailing Address
- 4021 W WALNUT ST # 1230 ROGERS, AR 72756
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-15-2023
- Last Update Date
- 12-15-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- A2310005
- License State
- AR
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275301657, enumerated as an "individual" on December 15, 2023.
The provider is located at 1801 SW REDWOOD AVE BENTONVILLE, AR 72713 and the phone number is (479) 755-9748.
Counselor with taxonomy code 101Y00000X.