Provider Demographics
NPI:1871374223
Name:AUGUST HOLISTIC THERAPY LLC
Entity type:Organization
Organization Name:AUGUST HOLISTIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZAMYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL-HADY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-394-1618
Mailing Address - Street 1:907 73RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4803
Mailing Address - Country:US
Mailing Address - Phone:646-394-1618
Mailing Address - Fax:
Practice Address - Street 1:907 73RD ST
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4803
Practice Address - Country:US
Practice Address - Phone:646-394-1618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty