Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X |
| NPI # | 1326269630 |
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| LBN Legal business name | HIAWATHA HARRIS, CORPORATION | ||||
| Authorized official | NEISHA BECTON - (C.E.O.) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/02/2007 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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