# INNER SPACE PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437837093
- **Authorized official:** MR. BRANDON DOUGLAS BURELLE PMHNP-BC (OWNER)
- **Authorized official phone:** (720) 257-9701

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2023
- **Last updated:** 11/17/2023