Provider Demographics
NPI:1144967845
Name:ST. JUSTE, ATHENA I (LIFE COACH)
Entity type:Individual
Prefix:MS
First Name:ATHENA
Middle Name:
Last Name:ST. JUSTE
Suffix:I
Gender:F
Credentials:LIFE COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-2005
Mailing Address - Country:US
Mailing Address - Phone:973-370-2939
Mailing Address - Fax:
Practice Address - Street 1:140 N 26TH ST
Practice Address - Street 2:
Practice Address - City:WHEATLEY HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11798-2005
Practice Address - Country:US
Practice Address - Phone:929-394-6926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach