Provider Demographics
NPI:1427672773
Name:CHARLIE HEALTH
Entity type:Organization
Organization Name:CHARLIE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-219-7835
Mailing Address - Street 1:169 MADISON AVE STE 15011
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5101
Mailing Address - Country:US
Mailing Address - Phone:406-219-7835
Mailing Address - Fax:406-794-0395
Practice Address - Street 1:233 E MAIN ST.
Practice Address - Street 2:STE 401
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-219-7835
Practice Address - Fax:406-794-0395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARLIE HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-02
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health