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 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 2 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 3 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 4 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 5 | 261QP0905X | Clinic/Center | Public Health, State or Local | | | No |
| 6 | 251300000X | Local Education Agency (LEA) | | | | No |
| 7 | 251B00000X | Case Management | | | | No |
| 8 | 251K00000X | Public Health or Welfare | | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | No |
| 10 | 261Q00000X | Clinic/Center | | | | No |
| 11 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 12 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | Yes |
