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Organization

HEART LIGHT PSYCHIATRY LLC

Active
Other names
Mile High Psychiatry LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL K CHISM II PMHNP (OWNER)
(303) 587-8592
Entity
Organization

Contact information

Practice address
2450 SAINT ROSE PKWY STE 120, HENDERSON, NV 89074-7770
(480) 847-2998
(720) 367-5067
Mailing address
3753 HOWARD HUGHES PKWY STE 200, LAS VEGAS, NV 89169-0952
(480) 847-2998
(720) 367-5067

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/01/2022
Last updated
11/09/2022
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