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 | 101YP2500X | Counselor | Professional | | | No |
| 2 | 251B00000X | Case Management | | | GEORGIA | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 5 | 302R00000X | Health Maintenance Organization | | | | No |
| 6 | 305S00000X | Point of Service | | | | No |
| 7 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 8 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 9 | 347C00000X | Private Vehicle | | | | No |
| 10 | 347E00000X | Transportation Broker | | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 261Q00000X | Clinic/Center | | | | Yes |