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 II PMHNP-BC (CEO)
(720) 507-4779
Entity
Organization
Contact information
Practice address
4500 PARK GRANADA STE 202, CALABASAS, CA 91302-1666
(720) 507-4779
(720) 367-5067
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
(720) 507-4779
(720) 367-5067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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