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Organization
MOUNTAIN STATES PSYCHIATRY PLLC
Active
Organization
MOUNTAIN STATES PSYCHIATRY PLLC
Active
Other names
Mountain States Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
CHANISE CHRISTOPHER PMHNP-BC (OWNER)
(970) 602-4222
Entity
Organization
Contact information
Practice address
2299 PEARL ST STE 300, BOULDER, CO 80302-4673
(970) 602-4222
(720) 684-0656
Mailing address
4845 PEARL EAST CIR, SUITE 118 PMB 934664, BOULDER, CO 80301-6112
(970) 602-4222
(720) 684-0656
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
09/29/2026
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