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Fundamental Behavioral Health — NPI 1194404319, Collinsville, IL | NPI Central

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NPI 1194404319

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Fundamental Behavioral Health

NPI 1194404319 · Adolescent and Children Mental Health Clinic/Center · Collinsville, IL

Provider details

NPI number: 1194404319
Entity type: Organization
Primary specialty: Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Joellen Juenger, Fnp-Bc, Pmhnp-Bc(618) 401-8225

Specialties & taxonomies

Adolescent and Children Mental Health Clinic/CenterPrimary261QM0855X
Ambulatory Health Care Facilities

Practice location

604 Beverly Ln

Collinsville, IL 62234-2912

Phone: (618) 401-8225

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

Po Box 204

Collinsville, IL 62234-0204

Other names (DBA / former)

Other name: Fundamental Behavioral Health
Other name: Fundamental Behavioral Health

Registry dates

Enumerated: 2023-07-14
Last updated: 2024-01-09
Certified: 2024-01-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.