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Organization

INNER SPACE PSYCHIATRY PLLC

Active
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Organization

INNER SPACE PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRANDON DOUGLAS BURELLE PMHNP-BC (OWNER)
(720) 257-9701
Entity
Organization

Contact information

Practice address
1600 N PENNSYLVANIA ST STE 101, DENVER, CO 80203-1303
(720) 527-9701
Mailing address
810 DETROIT ST, DENVER, CO 80206-3836
(720) 257-9701

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
07/05/2023
Last updated
11/17/2023
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