Provider Demographics
NPI:1750854683
Name:HASKINS, MOTIER (MS, MHC-LP)
Entity Type:Individual
Prefix:MR
First Name:MOTIER
Middle Name:
Last Name:HASKINS
Suffix:
Gender:M
Credentials:MS, MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HUTTON ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1717
Mailing Address - Country:US
Mailing Address - Phone:518-248-5049
Mailing Address - Fax:
Practice Address - Street 1:395 ELK ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-2707
Practice Address - Country:US
Practice Address - Phone:518-248-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health