Codi Scott Diamond
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rockholds, KY
NPI 1295545960 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1295545960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 191174 (OH)
- Practice address
- 2128 Ky 1418
Rockholds, KY 40759-7605 - Phone
- (606) 627-8608
- NPI assigned
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191174 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 191174 | OH | Yes |
Addresses
Primary practice location
2128 Ky 1418
Rockholds, KY 40759-7605
Mailing address
2128 Ky 1418
Rockholds, KY 40759-7605
Phone (606) 627-8608
Other providers in Rockholds, KY
- Bernice Elizabeth Harris
- Insight Health and Wellness LLC
- Meadow Creek Surgical PLC
- Rickey Lee Melton
- Sandra J Nantz
All providers in Rockholds, KY · Addiction (Substance Use Disorder) Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. 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.