Healthcare Provider Details

I. General information

NPI: 1023827912
Provider Name (Legal Business Name): STERLING PROFESSIONAL CONCIERGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22882 UPLAND WAY
HAYWARD CA
94541-3344
US

IV. Provider business mailing address

22882 UPLAND WAY
HAYWARD CA
94541-3344
US

V. Phone/Fax

Practice location:
  • Phone: 781-439-7132
  • Fax:
Mailing address:
  • Phone: 781-439-7132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIA GAJDOSIK
Title or Position: OWNER/FOUNDER
Credential: LCSW, MPH, MS
Phone: 781-439-7132