Healthcare Provider Details
I. General information
NPI: 1386578938
Provider Name (Legal Business Name): ADORE WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5214F DIAMOND HEIGHTS BLVD
SAN FRANCISCO CA
94131-2175
US
IV. Provider business mailing address
584 CASTRO ST # 2677
SAN FRANCISCO CA
94114-2512
US
V. Phone/Fax
- Phone: 415-625-3538
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TAHIA
HAQUE
Title or Position: PRESIDENT
Credential: MD
Phone: 415-625-3538