Organization · Type 2 NPI

Heart Light Psychiatry LLC

Psychiatric/Mental Health Nurse Practitioner · Henderson, NV

NPI number 1790405348 Active

Practice location

2450 Saint Rose Pkwy Ste 120
Henderson, NV 89074-7770

Call (480) 847-2998 Map

Fax (720) 367-5067

Mailing address

3753 Howard Hughes Pkwy Ste 200
Las Vegas, NV 89169-0952

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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NPI record

NPI: 1790405348
Entity type: Organization (Type 2)
Issued: Sep 1, 2022
Last updated: Nov 9, 2022
Status: Active

Other names

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Mile High Psychiatry LLC · doing business as
Mile High Psychiatry LLC · doing business as

Authorized official

Mr. Michael K Chism, PMHNP
Owner
(303) 587-8592

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790405348

Heart Light Psychiatry LLC's National Provider Identifier is 1790405348, issued on Sep 1, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Henderson, NV. The record was last updated on Nov 9, 2022.