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 | 385H00000X | Respite Care | | | | No |
| 2 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 3 | 177F00000X | Lodging | | | | No |
| 4 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 7 | 174200000X | Meals | | | | No |
| 8 | 251E00000X | Home Health | | | | No |
| 9 | 103TC0700X | Psychologist | Clinical | | | No |
| 10 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 11 | 104100000X | Social Worker | | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 14 | 251B00000X | Case Management | | | | Yes |