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 (OWNER)
(720) 507-4779
Entity
Organization
Contact information
Practice address
2675 S ABILENE ST STE 100, AURORA, CO 80014-2363
(720) 507-4779
(833) 941-5047
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
(720) 507-4779
(833) 941-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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