Provider Demographics
NPI:1720504822
Name:DARA HAMILTON, PC
Entity Type:Organization
Organization Name:DARA HAMILTON, PC
Other - Org Name:THE LOTUS CENTER FOR WELLBEING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-227-0204
Mailing Address - Street 1:PO BOX 24603
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00824-0603
Mailing Address - Country:US
Mailing Address - Phone:340-474-0057
Mailing Address - Fax:
Practice Address - Street 1:227 GOLDEN ROCK OFFICE 1
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTEC
Practice Address - State:VI
Practice Address - Zip Code:00821
Practice Address - Country:US
Practice Address - Phone:340-474-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI07-024-PSY103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty