Provider Demographics
NPI:1427785963
Name:HAMILTON MARRIAGE AND FAMILY THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:HAMILTON MARRIAGE AND FAMILY THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:914-426-1084
Mailing Address - Street 1:156 ROBINSON LN
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6319
Mailing Address - Country:US
Mailing Address - Phone:845-413-6914
Mailing Address - Fax:
Practice Address - Street 1:228 MYERS CORNERS RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-2142
Practice Address - Country:US
Practice Address - Phone:845-413-6914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty