# CH MH SERVICES (WI), LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215649314
- **Authorized official:** CHARIE BRYANT (VP, RCM)
- **Authorized official phone:** (803) 955-6655

## Contact information

- **Practice address:** 4602 S BILTMORE LN STE 114, MADISON, WI 53718-2155
- **Practice address phone:** (986) 206-0414
- **Mailing address:** 169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101
- **Mailing address phone:** (406) 361-3146
- **Mailing address fax:** (406) 794-0395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2022
- **Last updated:** 11/14/2025