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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 KEITH CHISM PMHNP-BC (CEO PSYCHIATRIC DIRECTOR)
(720) 507-4779
Entity
Organization
Contact information
Practice address
4545 POST OAK PLACE DR STE 110, HOUSTON, TX 77027-3105
(346) 308-8919
(720) 367-5067
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
(720) 507-4779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
04/09/2020
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