# MOUNTAIN STATES PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain States Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053238584
- **Authorized official:** CHANISE CHRISTOPHER PMHNP-BC (OWNER)
- **Authorized official phone:** (970) 602-4222

## Contact information

- **Practice address:** 2299 PEARL ST STE 300, BOULDER, CO 80302-4673
- **Practice address phone:** (970) 602-4222
- **Practice address fax:** (720) 684-0656
- **Mailing address:** 4845 PEARL EAST CIR, SUITE 118 PMB 934664, BOULDER, CO 80301-6112
- **Mailing address phone:** (970) 602-4222
- **Mailing address fax:** (720) 684-0656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 09/29/2026