# KEYSTONE PSYCHIATRY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760166706
- **Authorized official:** TAZZIE HARRISON MCLEOD APRN PMHNP-BC (OWNER/APRN)
- **Authorized official phone:** (352) 494-6692

## Contact information

- **Practice address:** 275 S LAWRENCE BLVD STE 3, KEYSTONE HEIGHTS, FL 32656-9473
- **Practice address phone:** (352) 494-6692
- **Practice address fax:** (352) 558-3422
- **Mailing address:** 2380 SE 43RD ST, KEYSTONE HEIGHTS, FL 32656-5822
- **Mailing address phone:** (352) 494-6692
- **Mailing address fax:** (352) 558-3422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2023
- **Last updated:** 02/19/2024