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 | 251S00000X | Community/Behavioral Health | | | | No |
| 2 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 3 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 4 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 5 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 6 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 7 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 8 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 1828 | NORTH CAROLINA | Yes |
