Organization
AUGUSTINE'S PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN PAUL AUGUSTINE (PMHNP)
(318) 264-9208
Entity
Organization
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Mailing address
151 LAURAS LN, MARKSVILLE, LA 71351-3960
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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