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 | 101Y00000X | Counselor | | MHL-077-070 | NORTH CAROLINA | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | MHL-077-070 | NORTH CAROLINA | No |
| 3 | 101YM0800X | Counselor | Mental Health | MHL-077-070 | NORTH CAROLINA | No |
| 4 | 101YM0800X | Counselor | Mental Health | | | No |
| 5 | 101YP2500X | Counselor | Professional | MHL-077-070 | NORTH CAROLINA | No |
| 6 | 207Q00000X | Family Medicine | | | | No |
| 7 | 207QA0401X | Family Medicine | Addiction Medicine | | | No |
| 8 | 207QA0505X | Family Medicine | Adult Medicine | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | MHL-077-070 | NORTH CAROLINA | No |
| 10 | 261QM0850X | Clinic/Center | Adult Mental Health | MHL-077-070 | NORTH CAROLINA | No |
| 11 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | MHL-077-070 | NORTH CAROLINA | No |
| 12 | 261QR0800X | Clinic/Center | Recovery Care | MHL-077-070 | NORTH CAROLINA | No |
| 13 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 14 | 363LP2300X | Nurse Practitioner | Primary Care | | | No |
| 15 | 253Z00000X | In Home Supportive Care | | | | Yes |