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 | 251V00000X | Voluntary or Charitable | | | | No |
| 2 | 101YM0800X | Counselor | Mental Health | | | No |
| 3 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 4 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 5 | 251B00000X | Case Management | | | | No |
| 6 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 7 | 251S00000X | Community/Behavioral Health | | | | Yes |