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 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | 5651 | SOUTH CAROLINA | No |
| 2 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | 5651 | SOUTH CAROLINA | No |
| 3 | 261QM0850X | Clinic/Center | Adult Mental Health | 5651 | SOUTH CAROLINA | No |
| 4 | 251S00000X | Community/Behavioral Health | | 5651 | SOUTH CAROLINA | Yes |