# HIAWATHA HARRIS, CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407063936
- **Authorized official:** NEISHA BECTON (C.E.O.)
- **Authorized official phone:** (925) 520-0005

## Contact information

- **Practice address:** 1210 ALHAMBRA AVE, MARTINEZ, CA 94553-2314
- **Practice address phone:** (925) 520-0005
- **Practice address fax:** (925) 520-0010
- **Mailing address:** 5674 STONERIDGE DR, SUITE 207, PLEASANTON, CA 94588-8500
- **Mailing address phone:** (925) 520-0005
- **Mailing address fax:** (925) 520-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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:** 05/16/2007
- **Last updated:** 07/08/2011