Organization
MILE HIGH PSYCHIATRY LLC
Active
Parent organization
MILE HIGH PSYCHIATRY LLC
Other names
Mile High Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILE HIGH PSYCHIATRY LLC
Authorized official
MICHAEL KEITH CHISM (CEO/PSYCHIATRIC DIRECTOR)
(720) 507-4779
Entity
Organization
Contact information
Practice address
13430 N SCOTTSDALE RD STE 104-6, SCOTTSDALE, AZ 85254-4057
(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
08/19/2019
Last updated
11/04/2022
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