Provider Demographics
NPI:1871466466
Name:CHAOS AND CLARITY PLLC
Entity type:Organization
Organization Name:CHAOS AND CLARITY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-785-6726
Mailing Address - Street 1:34125 US HIGHWAY 19 N STE 200
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-2115
Mailing Address - Country:US
Mailing Address - Phone:407-785-6726
Mailing Address - Fax:
Practice Address - Street 1:34125 US HIGHWAY 19 N STE 200
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2115
Practice Address - Country:US
Practice Address - Phone:407-785-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty