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Organization
MILE HIGH PSYCHIATRY LLC
Active
Organization
MILE HIGH PSYCHIATRY LLC
Active
Parent organization
MILE HIGH PSYCHIATRY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILE HIGH PSYCHIATRY LLC
Authorized official
MICHAEL K CHISM (OWNER)
(720) 507-4779
Entity
Organization
Contact information
Practice address
2675 S ABILENE ST STE 100, AURORA, CO 80014-2363
(720) 507-4779
(833) 941-5047
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
(720) 507-4779
(833) 941-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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