Organization
CHARLIE HEALTH MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN BROXMEYER (CHIEF COMPLIANCE OFFICER)
(720) 443-2529
Entity
Organization
Contact information
Practice address
1560 SAWGRASS CORPORATE PKWY, SUNRISE, FL 33323-2858
(406) 219-7835
Mailing address
1925 GRAND AVE STE 129, PMB 85322, BILLINGS, MT 59102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/29/2022
Last updated
07/17/2025
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