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 | 171400000X | Health and Wellness Coach | | | | No |
| 2 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 3 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 6 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 7 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 8 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 9 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 10 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
| 11 | 261QX0100X | Clinic/Center | Occupational Medicine | | | No |
| 12 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 13 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | Yes |
