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General NPI Number Information
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NPI Number | 1104427954
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Entity Type | Organization
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Legal Business Name | CH MH SERVICES (DE), LLC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 300 DELAWARE AVE STE 813
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City | WILMINGTON
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State | DE
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Zip | 19801-1697
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Country | US
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Telephone | 986-206-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 15011
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 406-219-7835
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Fax | 406-794-0352
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Authorized Official
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Title or Position | VP, RCM
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Name | CHARIE BRYANT
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Credential |
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Telephone | 803-955-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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