Augustus, Andreana T
Augustus, Andreana T is an individual health care provider with primary practice located at 6515 Kemp Blvd , Wichita Falls TX 76308-5419. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Augustus, Andreana T can be contacted via phone (940) 692-1200.Contact Information
Primary practice address
6515 Kemp Blvd
Wichita Falls TX 76308-5419
Phone: (940) 692-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1365 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 37001 | Texas |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 1365 | New Mexico |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 37001 | Texas |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 1365 | New Mexico |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 37001 | Texas |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1365 | New Mexico |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 37001 | Texas |
Profile Details
| NPI number | 1396915328 |
|---|---|
| LBN Legal business name | Augustus, Andreana T |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Aug 28th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396915328 | NPPES |
| New Mexico | MEDICAID | 47043 |
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