Healthcare Provider Details

I. General information

NPI: 1902726797
Provider Name (Legal Business Name): MS. CHARLIE MONROE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N PIEGAN ST
BROWNING MT
59417-5217
US

IV. Provider business mailing address

807 N PIEGAN ST
BROWNING MT
59417-5217
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6330
  • Fax:
Mailing address:
  • Phone: 406-338-6330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-ACLC-LIC-88280
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: