CODY A BOLIN CDCA
NPI 1548762255
Counselor - Addiction (Substance Use Disorder) in Athens, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since March 08, 2018

10050 BASSETT RD, ATHENS, OH 45701(740) 592-6724(740) 592-6728 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Mar 8, 2018 (2 updates tracked since 2018).

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About Cody A Bolin Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY A BOLIN CDCA (NPI 1548762255) is an individual addiction (substance use disorder) provider in Athens, Ohio, licensed in Ohio (163273) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1548762255

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCODY A BOLINCredential: CDCA

Location Address10050 BASSETT RDAthens, OH 45701-3626

Mailing Address224 Columbus RdAthens, OH 45701-1334 · (740) 594-8108 · Fax (740) 594-0268

Phone(740) 592-6724

Fax(740) 592-6728

Sole ProprietorNo

Enumeration DateMarch 8, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1548762255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 163273

10050 BASSETT RD, Athens, OH 45701

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Other Identifiers 1

Medicaid2864002OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA RUST

Social Worker