Provider Demographics
NPI: | 1447848577 |
---|---|
Name: | CH MH SERVICES (TX), LLC |
Entity type: | Organization |
Organization Name: | CH MH SERVICES (TX), LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VP, RCM |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHARIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRYANT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 803-955-6655 |
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: | 406-361-3001 |
Mailing Address - Fax: | 406-794-0395 |
Practice Address - Street 1: | 108 WILD BASIN RD STE 250 |
Practice Address - Street 2: | |
Practice Address - City: | AUSTIN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78746-3468 |
Practice Address - Country: | US |
Practice Address - Phone: | 406-219-7835 |
Practice Address - Fax: | 406-794-0395 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-01-05 |
Last Update Date: | 2025-07-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone | |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | ||
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |