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NPI 1427717834

NPI 1427717834 : CH MH SERVICES (MI), LLC : TAYLOR, MI

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General NPI Number Information
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    NPI Number           |    1427717834
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    Entity Type          |    Organization 
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    Legal Business Name  |    CH MH SERVICES (MI), LLC 
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Dates
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    Enumeration Date     |    12/13/2021
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    Last Update Date     |    11/14/2025
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Provider Practice Location Address
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    Address Line         |    20600 EUREKA RD STE 325 
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    City                 |    TAYLOR
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    State                |    MI
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    Zip                  |    48180-5371
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    Country              |    US
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    Telephone            |    406-219-7835
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    Fax                  |    406-794-0395
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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            |    986-206-0414
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    Fax                  |    406-794-0395
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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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        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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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        |    103TA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) 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        |    2084P0802X
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    Taxonomy Name        |    Addiction Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    2084A0401X
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    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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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 #14
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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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