Provider Demographics
NPI:1619761327
Name:FRONTLINE BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:FRONTLINE BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHENEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APN-C, PMHNP-BC
Authorized Official - Phone:609-435-3513
Mailing Address - Street 1:29 SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:VILLAS
Mailing Address - State:NJ
Mailing Address - Zip Code:08251-1635
Mailing Address - Country:US
Mailing Address - Phone:609-602-4470
Mailing Address - Fax:
Practice Address - Street 1:29 SPRUCE AVE
Practice Address - Street 2:
Practice Address - City:VILLAS
Practice Address - State:NJ
Practice Address - Zip Code:08251-1635
Practice Address - Country:US
Practice Address - Phone:609-602-4470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)