# BROOKE HAVEN PLLC

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

## Provider details

- **NPI number:** 1780560250
- **Authorized official:** KRISTI BROOKE CONOLY APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (229) 400-2625

## Contact information

- **Practice address:** 3632 SHAMROCK W STE 3, TALLAHASSEE, FL 32309-2686
- **Practice address phone:** (850) 273-5979
- **Practice address fax:** (850) 792-1312
- **Mailing address:** PO BOX 135, HAVANA, FL 32333-0135
- **Mailing address phone:** (850) 273-5979
- **Mailing address fax:** (850) 792-1312

## 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:** 08/12/2025
- **Last updated:** 08/01/2026