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 | 101Y00000X | Counselor | | | | No |
| 2 | 1041C0700X | Social Worker | Clinical | | | No |
| 3 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | | | No |
| 4 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 5 | 164W00000X | Licensed Practical Nurse | | | | No |
| 6 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | Yes |
| 8 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 320700000X | Residential Treatment Facility, Physical Disabilities | | AL810015274 | MICHIGAN | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 11 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 12 | 324500000X | Substance Abuse Rehabilitation Facility | | SA0810348 | MICHIGAN | No |
| 13 | 103K00000X | Behavior Analyst | | | | No |
| 14 | 251S00000X | Community/Behavioral Health | | | | No |
| 15 | 174H00000X | Health Educator | | | | No |
