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 | 171000000X | Military Health Care Provider | | | | No |
| 2 | 261QA0600X | Clinic/Center | Adult Day Care | | WYOMING | No |
| 3 | 261QD1600X | Clinic/Center | Developmental Disabilities | | WYOMING | No |
| 4 | 261QM0850X | Clinic/Center | Adult Mental Health | | WYOMING | No |
| 5 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | WYOMING | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | WYOMING | No |
| 7 | 372600000X | Adult Companion | | | WYOMING | No |
| 8 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | WYOMING | No |
| 9 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | WYOMING | No |
| 10 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | WYOMING | No |
| 11 | 251J00000X | Nursing Care | | | WYOMING | Yes |
