Provider Demographics
NPI:1326800806
Name:AUGUSTINE, NASHUDA (MHC-LP)
Entity Type:Individual
Prefix:
First Name:NASHUDA
Middle Name:
Last Name:AUGUSTINE
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:MS
Other - First Name:NASHUDA
Other - Middle Name:
Other - Last Name:AUGUSTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHC-LP
Mailing Address - Street 1:1798 NOSTRAND AVE APT 3F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7140
Mailing Address - Country:US
Mailing Address - Phone:646-342-2205
Mailing Address - Fax:
Practice Address - Street 1:1798 NOSTRAND AVE APT 3F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7140
Practice Address - Country:US
Practice Address - Phone:646-342-2205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health