Healthcare Provider Details

I. General information

NPI: 1053231712
Provider Name (Legal Business Name): HWP VIRGIN ISLANDS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 ESTATE THOMAS VI MEDICAL FOUNDATION SUITE 206
ST THOMAS VI
00802
US

IV. Provider business mailing address

9150 ESTATE THOMAS STE 206
ST THOMAS VI
00802-2612
US

V. Phone/Fax

Practice location:
  • Phone: 319-800-2125
  • Fax: 855-300-4759
Mailing address:
  • Phone: 319-800-2125
  • Fax: 855-300-4759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURIE MCCORMICK
Title or Position: OWNER
Credential: MD
Phone: 319-800-2125