Cody Stonewall Hollist, PH.D.
Individual provider Active NPI Marriage & Family Therapist · Centerton, AR
NPI 1235341801 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1235341801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 115 (NE)
- Practice address
- 1570 N Lexington PL
Centerton, AR 72719-9539 - Phone
- (402) 202-0506
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollist Treatment for Adolescents and Families | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 115 | NE | Yes |
Addresses
Primary practice location
1570 N Lexington PL
Centerton, AR 72719-9539
Mailing address
1570 N Lexington PL
Centerton, AR 72719-9539
Phone (402) 202-0506
Other providers in Centerton, AR
- Jessica Lynn Harper
- Callie Avery Hendricks
- Erica Hendricks
- Wendy Henson
- Ashley Hines
- Willard Howe Howard III
- Alexis Johnson
- Jace Jordan Johnson
- M Lucille Kelley
- Kestrel Creek Counseling
All providers in Centerton, AR · Marriage & Family Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.