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HIAWATHA HARRIS M.C. INC NPI 1093173296


NPI Information

NPI: 1093173296
Provider Name: HIAWATHA HARRIS, M.C., INC

Doing Business As: PATHWAYS TO WELLNESS MEDICATION CLINIC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
590 B ST
HAYWARD, CA
ZIP 94541
Phone: (925) 520-0005
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HIAWATHA HARRIS, M.C., INC is a mental health counselor in Hayward, CA. HIAWATHA HARRIS, M.C., INC NPI is 1093173296. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pathways To Wellness Medication Clinic.

The provider's business location address is:

590 B ST
HAYWARD, CA
ZIP 94541-004
Phone: (925) 520-0005
Fax: (925) 520-0010

The provider's authorized official is Neisha Becton .
The authorized official title is Ceo and has the following contact phone number (925) 520-0005.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 2/2/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2102L00000XPsychoanalystNo
3103T00000XPsychologistNo
4103TF0000XPsychologistFamilyNo
5104100000XSocial WorkerNo
6106H00000XMarriage & Family TherapistNo
7174400000XSpecialistNo
8101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.