Augustine Counseling, LLC

Organization Active NPI Marriage & Family Therapist · Middlebury, CT

NPI 1720481997 · NPPES record last updated Oct 2, 2014

Key facts

NPI
1720481997
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
License
000994 (CT)
Legal business name
AUGUSTINE COUNSELING, LLC
Practice address
2030 Straits Tpke
Middlebury, CT 06762-1831
Phone
(203) 543-3245
NPI assigned
Oct 2, 2014
Organization subpart
No

Authorized official

Name
Mark W. Augustine, LMFT NPI 1548349541
Title
Owner
Phone
(203) 543-3245

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2030 Straits Tpke
Middlebury, CT 06762
Phone (203) 558-1143

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
106H00000X 000994 CT Yes

Addresses

Primary practice location

2030 Straits Tpke
Middlebury, CT 06762-1831

Mailing address

2030 Straits Tpke
Middlebury, CT 06762-1831

Other providers in Middlebury, CT

All providers in Middlebury, CT · Marriage & Family Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.