Average Joe Psychiatric Services, Pllc

NPI #1932906005 in Mahomet, Illinois

Provider Information

NPI Number: 1932906005
Entity Type: Organization
Organization Name: Average Joe Psychiatric Services, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 26, 2025
Last Updated: Feb 26, 2025

Practice Location

Address: 220 RED BUD DR
City: Mahomet
State: Illinois
ZIP Code: 61853-9604
Phone: (217) 714-1006

Authorized Official

Name: MR. DANIEL T FOUTCH, APRN, PMHNP-BC
Title: CEO
Phone: (217) 714-1006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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