Organization · NPI-2

Charlie Health

Clinic/Center, Adolescent and Children Mental Health · Bozeman, MT

NPI number1427672773

StatusActive

Last updated in NPPESNov 13, 2025

Details

NPI: 1427672773
Entity type: Organization (NPI-2)
Legal business name: Charlie Health
Organization subpart: Yes
Enumeration date: Jun 2, 2020
Certification date: Nov 13, 2025
Last updated: Nov 13, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–	Yes
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
251S00000X	Community/Behavioral Health	–	–

Practice location

233 E Main St.
Ste 401
Bozeman, MT 59715

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

Authorized official

Charie Bryant
Vp, Rcm
8039556655

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