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Charlie Blue Therapy LLC

NPI 1255106340ActiveOrganization· Social Worker, Clinical· Flower Mound, TX

Social Worker, Clinical in Flower Mound, Texas, registered in NPPES in November 2023. The authorized official on file is Jonathon Curlett, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1255106340
StatusActive
Entity typeOrganization
NPI issuedNov 17, 2023
Last updated in NPPESFeb 25, 2026
Certified by providerFeb 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——
Counselor101Y00000X——
Counselor, Addiction (Substance Use Disorder)101YA0400X——
Behavior Analyst103K00000X——
Psychologist103T00000X——
Social Worker104100000X——
Marriage & Family Therapist106H00000X——
Behavior Technician106S00000X——
Psychiatry & Neurology, Psychiatry2084P0800X——
Psychiatry & Neurology, Child & Adolescent Psychiatry2084P0804X——
Psychiatry & Neurology, Geriatric Psychiatry2084P0805X——
Nurse Practitioner, Psych/Mental Health363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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