| Doctor Name: | DAVID NICSON AUGUSTIN |
| NPI Number: | 1346594074 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LMHC |
| License Number: | MH11661 |
| Business Practice Address: | 8900 Sw 168th St Palmetto Bay, FL - 331574569 |
| Business Phone Number: | 7864301051 |
| Business Fax Number: | 7864301062 |
| Mailing Address: | 8900 Sw 168th St, PALMETTO BAY |
| State: | FL |
| Postal Code: | 331574569 |
| Phone Number: | 7864301051 |
| Fax Number: | 7864301062 |
| NPI Enumeration Date: | 11/02/2012 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH11661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |