Provider Demographics
NPI:1902044340
Name:HAMILTON DAVIS, LINDSEY (LMFT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:HAMILTON DAVIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:CHRISTINE
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:895 ISLAND PARK DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7991
Mailing Address - Country:US
Mailing Address - Phone:843-471-2215
Mailing Address - Fax:
Practice Address - Street 1:895 ISLAND PARK DR
Practice Address - Street 2:SUITE 201
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7991
Practice Address - Country:US
Practice Address - Phone:843-471-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4770101YP2500X
SC4493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional