=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275481632
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MILE HIGH CORE SOLUTIONS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2026
-----------------------------------------------------
Last Update Date | 03/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1010 SANTA FE DR UNIT 418
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80204-4257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-295-2794
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1010 SANTA FE DR UNIT 418
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80204-4257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-295-2794
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ANTHONY MCMAHON
-----------------------------------------------------
Credential | PSYD
-----------------------------------------------------
Telephone | 720-295-2794
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------