# MILE HIGH PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILE HIGH PSYCHIATRY LLC
- **Other names:** Mile High Psychiatry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366099020
- **Legal business name:** MILE HIGH PSYCHIATRY LLC
- **Authorized official:** MICHAEL KEITH CHISM (CEO/PSYCHIATRIC DIRECTOR)
- **Authorized official phone:** (720) 507-4779

## Contact information

- **Practice address:** 13430 N SCOTTSDALE RD STE 104-6, SCOTTSDALE, AZ 85254-4057
- **Practice address phone:** (720) 507-4779
- **Practice address fax:** (720) 367-5067
- **Mailing address:** 15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
- **Mailing address phone:** (720) 507-4779
- **Mailing address fax:** (720) 367-5067

## 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:** 08/19/2019
- **Last updated:** 11/04/2022