# CH MH SERVICES (CT), LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHARLIE HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184410417
- **Legal business name:** CHARLIE HEALTH
- **Authorized official:** CHARIE BRYANT (VP, RCM)
- **Authorized official phone:** (803) 955-6655

## Contact information

- **Practice address:** 456 GLENBROOK RD UNIT 2-6, STAMFORD, CT 06906-1800
- **Practice address phone:** (406) 219-7835
- **Mailing address:** 169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 11/14/2025
