Provider Demographics
NPI:1194024026
Name:AUGUSTE, DEBORAH (MS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5989 AUGUSTA NATIONAL DR
Mailing Address - Street 2:202
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3259
Mailing Address - Country:US
Mailing Address - Phone:407-283-9732
Mailing Address - Fax:
Practice Address - Street 1:5989 AUGUSTA NATIONAL DR
Practice Address - Street 2:202
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-3259
Practice Address - Country:US
Practice Address - Phone:407-283-9732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health