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NPI Code Detail

MEDICARE: CHAOS AND CLARITY

MEDICARE: CHAOS AND CLARITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1871466466
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAOS AND CLARITY
Provider Business Mailing Address
First Line : 34125 US HIGHWAY 19 N STE 200
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2115
Country : US
Telephone Number : 728-214-9099
Fax Number : 728-220-1039
Provider Business Practice Location Address
First Line : 34125 US HIGHWAY 19 N STE 200
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2115
Country : US
Telephone Number : 728-214-9099
Fax Number : 728-220-1039
Authorized Official
Title or Position : MANAGER
Name : BRENDAN KEANY
Credential :
Telephone Number : 728-214-9099
Provider Enumeration Date : 09/29/2025
Last Update Date : 05/26/2026

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Directions to “CHAOS AND CLARITY ” Practice Location

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