Organization
CH MH SERVICES (UT), LLC
Active
Other names
Charlie Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIE BRYANT (VP, RCM)
(803) 955-6655
Entity
Organization
Contact information
Practice address
3995 S 700 E STE 75, SALT LAKE CITY, UT 84107-2539
(406) 219-7835
(406) 794-0395
Mailing address
169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101
(406) 361-3001
(406) 794-0395
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/20/2021
Last updated
11/14/2025
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