Healthcare Provider Details

I. General information

NPI: 1831984426
Provider Name (Legal Business Name): SKY MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 LINCOLN AVE STE 200
STEAMBOAT SPRINGS CO
80487-4972
US

IV. Provider business mailing address

810 LINCOLN AVE STE 200
STEAMBOAT SPRINGS CO
80487-4972
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-7637
  • Fax:
Mailing address:
  • Phone: 970-879-7637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MILLIE FLANIGAN
Title or Position: MEMBER
Credential: PA
Phone: 970-846-7816