Organization · NPI-2

Ch Mh Services (Mo), LLC

Clinic/Center, Adolescent and Children Mental Health · Independence, MO

NPI number1376255539

StatusActive

Last updated in NPPESJan 28, 2026

Details

NPI: 1376255539
Entity type: Organization (NPI-2)
Legal business name: Ch Mh Services (Mo), LLC
Organization subpart: No
Enumeration date: Dec 20, 2022
Certification date: Jan 28, 2026
Last updated: Jan 28, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–	Yes
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
3245S0500X	Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–

Practice location

3675 S Noland Rd Ste 302
Independence, MO 64055-3369

Phone 406-219-7835 · Fax 406-794-0395

Mailing address

169 Madison Ave Ste 15011
New York, NY 10016-5101

Phone 986-206-0414 · Fax 406-794-0395

Other practice locations

1736 E Sunshine St Ste 408
Springfield, MO 65804-1330

Phone 406-219-7835

Authorized official

Charie Bryant
Vp, Rcm
8039556655

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