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Organization

CHARLIE BLUE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHON CURLETT (MANAGER)
(469) 557-2997
Entity
Organization

Contact information

Practice address
3370 LONG PRAIRIE RD STE 650, FLOWER MOUND, TX 75022-3000
(469) 557-2997
Mailing address
2300 OLYMPIA DR UNIT 270118, FLOWER MOUND, TX 75027-0049
(469) 557-2997

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
106S00000X
Behavior Technician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/17/2023
Last updated
02/25/2026
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