Organization
MILE HIGH PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K CHISM (OWNER)
(720) 507-4779
Entity
Organization
Contact information
Practice address
14221 E 4TH AVE STE 2-126, AURORA, CO 80011-8717
(720) 507-4779
(720) 367-5067
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
09/03/2024
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