Provider Demographics
NPI:1750448965
Name:SEALY, AUGUSTUS C (PHD LMHC)
Entity type:Individual
Prefix:DR
First Name:AUGUSTUS
Middle Name:C
Last Name:SEALY
Suffix:
Gender:M
Credentials:PHD LMHC
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Other - First Name:
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Mailing Address - Street 1:20000 PLUM CANYON RD UNIT 1815
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2416
Mailing Address - Country:US
Mailing Address - Phone:661-651-8596
Mailing Address - Fax:661-360-9453
Practice Address - Street 1:370 MAIN ST STE 910
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1723
Practice Address - Country:US
Practice Address - Phone:661-651-8596
Practice Address - Fax:661-360-9453
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health