Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Charlie Health Medical PA

Organization Mental Health Counselor · NPI 1013643261

Charlie Health Medical PA provides Mental Health Counselor services 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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