Provider Demographics
NPI:1013504810
Name:HEADLANDS PSYCHOTHERAPY GROUP: HOWSON & HATHAWAY FAMILY THERAPIST PC
Entity Type:Organization
Organization Name:HEADLANDS PSYCHOTHERAPY GROUP: HOWSON & HATHAWAY FAMILY THERAPIST PC
Other - Org Name:HEADLANDS PSYCHOTHERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:DELACEY
Authorized Official - Last Name:HATHAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-702-0277
Mailing Address - Street 1:3702 SACRAMENTO ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1740
Mailing Address - Country:US
Mailing Address - Phone:415-702-0277
Mailing Address - Fax:
Practice Address - Street 1:3702 SACRAMENTO ST STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1740
Practice Address - Country:US
Practice Address - Phone:415-702-0277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty