CODY BRYAN
NPI 1275301657
Counselor in Bentonville, AR

Active since December 15, 2023
1801 SW REDWOOD AVE, BENTONVILLE, AR 72713(479) 755-9748 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.