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General NPI Number Information
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NPI Number | 1871151308
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Entity Type | Organization
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Legal Business Name | MOUNTAIN PSYCHIATRY
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1520 W MAIN ST STE 102
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City | RICHMOND
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State | VA
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Zip | 23220-4687
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Country | US
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Telephone | 804-369-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 15TH ST UNIT 489
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City | BOULDER
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State | CO
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Zip | 80302-5413
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Country | US
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Telephone | 804-369-8201
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Fax |
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Authorized Official
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Title or Position | CHILD AND FAMILY PSYCHIATRIC NP
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Name | ELISABETH LIPPINCOTT COLLINS
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Credential | RN, MS, PMHNP-BC
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Telephone | 303-857-5260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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