# MILE HIGH PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1760928766
- **Authorized official:** MICHAEL K CHISM (OWNER)
- **Authorized official phone:** (720) 507-4779

## Contact information

- **Practice address:** 14221 E 4TH AVE STE 2-126, AURORA, CO 80011-8717
- **Practice address phone:** (720) 507-4779
- **Practice address fax:** (720) 367-5067
- **Mailing address:** 15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 09/03/2024