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NPI Code Detail

MEDICARE: FRONTLINE BEHAVIORAL HEALTH, LLC

MEDICARE: FRONTLINE BEHAVIORAL HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1619761327
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRONTLINE BEHAVIORAL HEALTH, LLC
Provider Business Mailing Address
First Line : 3301 RTE 9 SO, SUITE 8
Second Line : #164
City : RIO GRANDE
State : NJ
Zip : 08242
Country : US
Telephone Number : 609-400-4467
Fax Number : 609-739-8987
Provider Business Practice Location Address
First Line : 222 NEW RD STE 405
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1283
Country : US
Telephone Number : 609-400-4467
Fax Number : 609-739-8987
Authorized Official
Title or Position : OWNER/OPERATOR
Name : DR. CHENEEN M AUSTIN
Credential : DNP, APN-C, PMHNP-BC
Telephone Number : 609-400-4467
Provider Enumeration Date : 04/07/2025
Last Update Date : 01/20/2026

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