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 | 101YP1600X | Counselor | Pastoral | | GEORGIA | Yes |
| 2 | 221700000X | Art Therapist | | | KENTUCKY | No |
| 3 | 372500000X | Chore Provider | | | | No |
| 4 | 372600000X | Adult Companion | | | GEORGIA | No |
| 5 | 374T00000X | Religious Nonmedical Nursing Personnel | | | GEORGIA | No |
| 6 | 374U00000X | Home Health Aide | | | SOUTH DAKOTA | No |
| 7 | 376J00000X | Homemaker | | | MINNESOTA | No |
| 8 | 376K00000X | Nurse's Aide | | | MINNESOTA | No |
| 9 | 174V00000X | Clinical Ethicist | | | GEORGIA | No |
| 10 | 171M00000X | Case Manager/Care Coordinator | | | GEORGIA | No |
| 11 | 374K00000X | Religious Nonmedical Practitioner | | | GEORGIA | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | PCT2689 | OTHER | GEORGIA | PATIENT CARE SPEACIALIST |
| 2 | CSC2689 | OTHER | GEORGIA | CERTIFIED PASTORAL COUNSELOR |
| 3 | GA2689HHC | OTHER | GEORGIA | HOLISTIC HEALTH COACH |
| 4 | D.PSC | OTHER | TEXAS | DOCTOR OF PASTORAL SCIENCE & MEDICINE |
