Healthcare Provider Details

I. General information

NPI: 1659292431
Provider Name (Legal Business Name): CHAOS AND CLARITY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W MONROE ST FL 2
PHOENIX AZ
85003-1739
US

IV. Provider business mailing address

34125 US HIGHWAY 19 N STE 200
PALM HARBOR FL
34684-2115
US

V. Phone/Fax

Practice location:
  • Phone: 727-358-8736
  • Fax: 728-220-1039
Mailing address:
  • Phone: 727-358-8736
  • Fax: 728-220-1039

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: BRENDAN KEANY
Title or Position: OWNER
Credential: NP
Phone: 727-358-8736