Organization · Type 2 NPI
Charlie Blue Therapy LLC
Clinical Social Worker · Flower Mound, TX
Practice location
3370 Long Prairie Rd Ste 650
Flower Mound, TX 75022-3000
Mailing address
2300 Olympia Dr Unit 270118
Flower Mound, TX 75027-0049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Behavior Analyst | 103K00000X | None listed |
| Psychologist | 103T00000X | None listed |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Behavior Technician | 106S00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Geriatric Psychiatry Physician | 2084P0805X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1255106340
Charlie Blue Therapy LLC's National Provider Identifier is 1255106340, issued on Nov 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flower Mound, TX. The record was last updated on Feb 25, 2026.