Dr Cody Stonewall Hollist, PHD is a
Marriage & Family Therapist based in Centerton, Arkansas. Dr Cody Stonewall Hollist is licensed to practice in Nebraska (license number 115) and his current practice location is
1570 N Lexington Pl, Centerton, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(402) 202-0506.
NPI number for Dr Cody Stonewall Hollist is 1235341801 and his current mailing address is 1570 N Lexington Pl, Centerton, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235341801.
Healthcare Provider's Profile
| Full Name | Dr Cody Stonewall Hollist |
|---|
| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 1570 N Lexington Pl, Centerton, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235341801
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/02/2026
Medical Identifiers
Medical identifiers for Dr Cody Stonewall Hollist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235341801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 115 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cody Stonewall Hollist is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Cody Stonewall Hollist, PHD 1570 N Lexington Pl, Centerton, AR 72719-9539 Ph: (402) 202-0506 | Dr Cody Stonewall Hollist, PHD 1570 N Lexington Pl, Centerton, AR 72719-9539 Ph: (402) 202-0506 |
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