# HIAWATHA HARRIS, CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pathways to Wellness, Medication Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336440353
- **Authorized official:** MRS. NEISHA BECTON (CEO)
- **Authorized official phone:** (925) 520-0005

## Contact information

- **Practice address:** 1453 FIRST ST, LIVERMORE, CA 94550-4203
- **Practice address phone:** (925) 520-0005
- **Mailing address:** 5674 STONERIDGE DR STE 116, PLEASANTON, CA 94588-8536
- **Mailing address phone:** (925) 520-0005
- **Mailing address fax:** (925) 520-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | C22371 | CA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | C22371 | CA | Yes |
| 103TF0000X | Family Psychologist | C22371 | CA | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | C22371 | CA | — |
| 106H00000X | Marriage & Family Therapist | C22371 | CA | — |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 11/08/2010