Louis, Augustine

Louis, Augustine is an sole proprietor health care provider with primary practice located at 1639 Forum Pl Ste 7 , West Palm Beach FL 33401-2330. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Louis, Augustine can be contacted via phone (561) 712-8821.

Contact Information

Primary practice address
1639 Forum Pl Ste 7 West Palm Beach FL 33401-2330
Phone: (561) 712-8821
Fax: (561) 712-8070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396281556
LBN Legal business name Louis, Augustine
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2017
Last updated Jun 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396281556 NPPES
Florida MEDICAID 022845400

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