Organization · NPI-2

Ch Mh Services (Sc), LLC

Clinic/Center, Adolescent and Children Mental Health · Charleston, SC

NPI number1659012748
StatusActive
Last updated in NPPESNov 14, 2025

Details

NPI
1659012748
Entity type
Organization (NPI-2)
Legal business name
Ch Mh Services (Sc), LLC
Organization subpart
No
Enumeration date
Apr 5, 2022
Certification date
Nov 14, 2025
Last updated
Nov 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

1565 Sam Rittenberg Blvd Ste 104
Charleston, SC 29407-4128

Phone 406-219-7835 · Fax 406-794-0395

Mailing address

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

Phone 406-219-7835 · Fax 406-794-0395

Authorized official

Charie Bryant
Vp, Rcm
8039556655

Is something wrong?

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