Organization
HIAWATHA HARRIS, CORPORATION
Active
Other names
Pathways To Wellness, Medication Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NEISHA BECTON (C.E.O.)
(925) 520-0005
Entity
Organization
Contact information
Practice address
4241 LONG BEACH BLVD, LONG BEACH, CA 90807-2003
(562) 988-1700
(562) 988-1712
Mailing address
5674 STONERIDGE DR STE 116, PLEASANTON, CA 94588-8536
(925) 520-0005
(925) 520-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C22371
CA
103TC2200X
Clinical Child & Adolescent Psychologist
C22371
CA
103TF0000X
Family Psychologist
C22371
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
C22371
CA
106H00000X
Marriage & Family Therapist
C22371
CA
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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