Pathways To Wellness, Medication Clinic

LBN: Hiawatha Harris Md Inc.
Pathways To Wellness, Medication Clinic is an health care organization with primary practice located at 1700 Broadway Ste 500 , Oakland CA 94612-2141. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Hiawatha Harris Md Inc. can be contacted via phone (510) 273-4200, or through Becton, Neisha via phone (925) 520-0005.

Contact Information

Primary practice address
1700 Broadway Ste 500 Oakland CA 94612-2141
Phone: (510) 273-4200
Fax: (510) 273-8340
Website:
Map and Directions
Authorized official contact:
Name: Becton, Neisha
Phone: (925) 520-0005

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C22371 California
Behavioral Health & Social Service Providers / Family 103TF0000X C22371 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X C22371 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X C22371 California

Profile Details

NPI number 1942420724
LBN Legal business name Hiawatha Harris Md Inc.
DBA Doing business as Pathways To Wellness, Medication Clinic
Authorized official Becton, Neisha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Apr 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942420724 NPPES
California MEDICAID 01AG

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