HIAWATHA HARRIS M.C. INC NPI 1093173296

NPI Information

  • NPI: 1093173296
  • Provider Name: HIAWATHA HARRIS, M.C., INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: PATHWAYS TO WELLNESS MEDICATION CLINIC
  • Address: 590 B ST
    HAYWARD, CA
    ZIP 94541
  • Phone: (925) 520-0005

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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