Healthcare Provider Details

I. General information

NPI: 1275478174
Provider Name (Legal Business Name): PSALMS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13801 WALSINGHAM RD STE 155A
LARGO FL
33774-3237
US

IV. Provider business mailing address

13801 WALSINGHAM RD STE 155A
LARGO FL
33774-3237
US

V. Phone/Fax

Practice location:
  • Phone: 863-245-4593
  • Fax:
Mailing address:
  • Phone: 863-245-4593
  • 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: TANISHA GRANT
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-C
Phone: 863-245-4593