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 | 101YM0800X | Counselor | Mental Health | | NORTH CAROLINA | No |
| 2 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | | NORTH CAROLINA | No |
| 3 | 103TA0700X | Psychologist | Adult Development & Aging | | NORTH CAROLINA | No |
| 4 | 103TB0200X | Psychologist | Cognitive & Behavioral | | NORTH CAROLINA | No |
| 5 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | NORTH CAROLINA | No |
| 6 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | NORTH CAROLINA | No |
| 7 | 104100000X | Social Worker | | | NORTH CAROLINA | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | NORTH CAROLINA | Yes |