# AUGUSTINE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720481997
- **Authorized official:** MARK W. AUGUSTINE LMFT (OWNER)
- **Authorized official phone:** (203) 543-3245

## Contact information

- **Practice address:** 2030 STRAITS TPKE, MIDDLEBURY, CT 06762-1831
- **Practice address phone:** (203) 543-3245
- **Mailing address:** 2030 STRAITS TPKE, MIDDLEBURY, CT 06762-1831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000994 | CT | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 10/02/2014