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CODY TYLER GRUBER
NPI 1972272888
Counselor - Addiction (Substance Use Disorder) in Walterboro, SC

Active since September 13, 2021
1439 THUNDERBOLT DRIVE, WALTERBORO, SC 29488(843) 538-4343 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Tyler Gruber NPPES

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

CODY TYLER GRUBER (NPI 1972272888) is an individual addiction (substance use disorder) provider in Walterboro, South Carolina, licensed in South Carolina (101824814) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1972272888
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCODY TYLER GRUBER
Location Address1439 THUNDERBOLT DRIVEWalterboro, SC 29488
Mailing Address1439 Thunderbolt DriveWalterboro, SC 29488
Phone(843) 538-4343
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1972272888 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 SC · 101824814
1439 THUNDERBOLT DRIVE, Walterboro, SC 29488
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Gruber's NPI number?

The NPI number for Cody Gruber is 1972272888. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Cody Gruber located?

Cody Gruber practices at 1439 Thunderbolt Drive, Walterboro, SC 29488. The listed phone number is (843) 538-4343.

What is Cody Gruber's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cody Gruber was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.