Healthcare Provider Details

I. General information

NPI: 1871151308
Provider Name (Legal Business Name): MOUNTAIN PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W MAIN ST STE 102
RICHMOND VA
23220-4687
US

IV. Provider business mailing address

1905 15TH ST UNIT 489
BOULDER CO
80302-5413
US

V. Phone/Fax

Practice location:
  • Phone: 804-369-8201
  • Fax:
Mailing address:
  • Phone: 804-369-8201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELISABETH LIPPINCOTT COLLINS
Title or Position: CHILD AND FAMILY PSYCHIATRIC NP
Credential: RN, MS, PMHNP-BC
Phone: 303-857-5260