Shy, Cody

Shy, Cody is an individual health care provider with primary practice located at 9620 Careys Run Pond Creek Road , Mcdermott OH 45652. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Shy, Cody can be contacted via phone (740) 858-6683.

Contact Information

Primary practice address
9620 Careys Run Pond Creek Road Mcdermott OH 45652
Phone: (740) 858-6683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Other Service Providers / Peer Specialist 175T00000X APS.004898 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.175939 Ohio

Profile Details

NPI number 1932836954
LBN Legal business name Shy, Cody
Credentials CDCA, PRS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2022
Last updated Jul 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932836954 NPPES
Ohio MEDICAID 0000733

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