Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie Health Medical PA

Organization Mental Health Counselor · NPI 1013643261

Charlie Health Medical PA is a Mental Health Counselor in Sunrise, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
12
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1560 Sawgrass Corporate Pkwy
Sunrise, FL 33323-2858
Phone: (406) 219-7835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X
Psychiatry Physician Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1013643261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Broxmeyer — Chief Compliance Officer · (720) 443-2529
NPI enumeratedJuly 29, 2022
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address1925 Grand Ave Ste 129, Pmb 85322, Billings, MT 59102

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