# CHARLIE HEALTH MEDICAL, P.A.

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

## Provider details

- **NPI number:** 1962316182
- **Authorized official:** CHARIE BRYANT (VP, REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (986) 206-0414

## Contact information

- **Practice address:** 13659 E 104TH AVE UNIT 650, COMMERCE CITY, CO 80022-9477
- **Practice address phone:** (406) 361-3146
- **Mailing address:** 169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/02/2026