Provider Demographics
NPI:1326286592
Name:MILE HIGH BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:MILE HIGH BEHAVIORAL HEALTH LLC
Other - Org Name:MILE HIGH BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CFO/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CACIII
Authorized Official - Phone:303-960-6249
Mailing Address - Street 1:8801 E. HAMPDEN AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4950
Mailing Address - Country:US
Mailing Address - Phone:303-960-6249
Mailing Address - Fax:303-537-6923
Practice Address - Street 1:8801 E. HAMPDEN AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4950
Practice Address - Country:US
Practice Address - Phone:303-960-6249
Practice Address - Fax:303-537-6923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty