| August Holistic Therapy Llc | |
|
907 73rd St North Bergen NJ 07047-4803 | |
| (646) 394-1618 | |
| Not Available |
| Full Name | August Holistic Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 907 73rd St, North Bergen, New Jersey |
| Authorized Official Name and Position | Zamyra Abdel-hady (OWNER) |
| Authorized Official Contact | 6463941618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| August Holistic Therapy Llc 907 73rd St North Bergen NJ 07047-4803 Ph: (646) 394-1618 | August Holistic Therapy Llc 907 73rd St North Bergen NJ 07047-4803 Ph: (646) 394-1618 |
| NPI Number | 1871374223 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 9032565965 |
|---|---|
| Medicare Enrollment ID | O20231027002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871374223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Zamyra Abdel-hady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326486424 PECOS PAC ID: 0941656870 Enrollment ID: I20231027002461 |
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