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 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 2 | 364SP0812X | Clinical Nurse Specialist | Psychiatric/Mental Health, Community | | NORTH CAROLINA | No |
| 3 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | NORTH CAROLINA | No |
| 4 | 101YM0800X | Counselor | Mental Health | | NORTH CAROLINA | No |
| 5 | 101YP2500X | Counselor | Professional | | NORTH CAROLINA | No |
| 6 | 363A00000X | Physician Assistant | | | NORTH CAROLINA | No |
| 7 | 251S00000X | Community/Behavioral Health | | | NORTH CAROLINA | No |
| 8 | 364SP0809X | Clinical Nurse Specialist | Psychiatric/Mental Health, Adult | | NORTH CAROLINA | Yes |