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 | 261Q00000X | Clinic/Center | | | | No |
| 2 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 3 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 4 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 5 | 225C00000X | Rehabilitation Counselor | | | | No |
| 6 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 9 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 10 | 251S00000X | Community/Behavioral Health | | | | Yes |