Provider Demographics
NPI:1538030473
Name:CHARLIER, SAMUEL CHRISTOPHER
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:CHRISTOPHER
Last Name:CHARLIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 MENDOTA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-2006
Mailing Address - Country:US
Mailing Address - Phone:612-201-2468
Mailing Address - Fax:
Practice Address - Street 1:1345 MENDOTA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-2006
Practice Address - Country:US
Practice Address - Phone:612-201-2468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician