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 | 171400000X | Health and Wellness Coach | | | | No |
| 2 | 251K00000X | Public Health or Welfare | | | | No |
| 3 | 251V00000X | Voluntary or Charitable | | | | No |
| 4 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 5 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
| 6 | 302R00000X | Health Maintenance Organization | | | | No |
| 7 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | Yes |