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 | 101YM0800X | Counselor | Mental Health | 66355 | TEXAS | No |
| 2 | 171M00000X | Case Manager/Care Coordinator | | 66355 | TEXAS | No |
| 3 | 251B00000X | Case Management | | 66355 | TEXAS | No |
| 4 | 261QM0850X | Clinic/Center | Adult Mental Health | 66355 | TEXAS | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | 66355 | TEXAS | No |
| 6 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | 66355 | TEXAS | No |
| 7 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | 66355 | TEXAS | No |
| 9 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | 66355 | TEXAS | No |
| 10 | 310500000X | Intermediate Care Facility, Mental Illness | | 66355 | TEXAS | No |
| 11 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | 66355 | TEXAS | No |
| 12 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | 66355 | TEXAS | No |
| 13 | 323P00000X | Psychiatric Residential Treatment Facility | | 66355 | TEXAS | No |
| 14 | 324500000X | Substance Abuse Rehabilitation Facility | | 66355 | TEXAS | No |
| 15 | 1041C0700X | Social Worker | Clinical | 66355 | TEXAS | Yes |
