CHARLOTTE BEHAVIORAL HEALTH CARE INC NPI 1760460653

NPI Information

  • NPI: 1760460653
  • Provider Name: CHARLOTTE BEHAVIORAL HEALTH CARE INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1700 EDUCATION AVE
    PUNTA GORDA, FL
    ZIP 33950
  • Phone: (941) 639-8300

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NPI Details

CHARLOTTE BEHAVIORAL HEALTH CARE INC is a mental health counselor in Punta Gorda, FL. CHARLOTTE BEHAVIORAL HEALTH CARE INC NPI is 1760460653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1700 EDUCATION AVE
PUNTA GORDA, FL
ZIP 33950-222
Phone: (941) 639-8300
Fax: (941) 639-6831

The provider's authorized official is Ralph Jay Glynn .
The authorized official title is Ceo and has the following contact phone number (941) 639-8300.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 5/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)0808AD492200FLORIDANo
21041C0700XSocial WorkerClinical0808AD492200FLORIDANo
3324500000XSubstance Abuse Rehabilitation Facility2008AD4922-00-PFLORIDANo
4101YM0800XCounselorMental Health0808AD492200FLORIDAYes
5251S00000XCommunity/Behavioral Health1477FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
197564OTHERFLORIDABLUE CROSS
2060480100MEDICAIDFLORIDA
3141305800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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