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 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | CI0000012125 | GEORGIA | No |
| 2 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | No |
| 4 | 103K00000X | Behavior Analyst | | | | No |
| 5 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 6 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 7 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | Yes |