BRADLEY RYAN HOLT NPI 1942956529

NPI Information

NPI: 1942956529
Provider Name: BRADLEY RYAN HOLT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
247 CIC BLVD
WEST UNION, OH
ZIP 45693
Phone: (513) 941-4999
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Bradley Ryan Holt is an addiction (substance use disorder) counselor in West Union, OH. Bradley Ryan Holt NPI is 1942956529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

247 CIC BLVD
WEST UNION, OH
ZIP 45693-512
Phone: (513) 941-4999

The enumeration date for this NPI number is 2/23/2022 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.184559	OHIO	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.180419	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0484893	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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