Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BROOKE HAVEN PLLC
NPI 1780560250
Nurse Practitioner - Psychiatric/Mental Health in Tallahassee, FL

Q: What is Brooke Haven PLLC's NPI number?

The NPI number for Brooke Haven PLLC is 1780560250. It was assigned to this organization in the NPPES registry on August 12, 2025.

Q: What is Brooke Haven PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Haven PLLC was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2025

3632 SHAMROCK W STE 3, TALLAHASSEE, FL 32309(850) 273-5979(850) 792-1312 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 1, 2026, Sep 5, 2025, Aug 12, 2025 (3 updates tracked since 2025).

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About Brooke Haven Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE HAVEN PLLC (NPI 1780560250) is a healthcare organization registered as a psychiatric/mental health in Tallahassee, Florida and active in the NPI registry since August 2025. The organization lists Kristi Brooke Conoly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780560250

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBROOKE HAVEN PLLC

Location Address3632 SHAMROCK W STE 3Tallahassee, FL 32309-2686

Mailing AddressPo Box 135Havana, FL 32333-0135 · (850) 273-5979 · Fax (850) 792-1312

Phone(850) 273-5979

Fax(850) 792-1312

Organization SubpartNo

Authorized OfficialKristi Brooke ConolyCeo · (229) 400-2625

Enumeration DateAugust 12, 2025

Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration

NPPES CertifiedAugust 1, 2026

✔ NPI 1780560250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

3632 SHAMROCK W STE 3, Tallahassee, FL 32309

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Haven PLLC's NPI number?

The NPI number for Brooke Haven PLLC is 1780560250. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Brooke Haven PLLC located?

Brooke Haven PLLC is located at 3632 Shamrock W Ste 3, Tallahassee, FL 32309. The listed phone number is (850) 273-5979.

What is Brooke Haven PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Brooke Haven PLLC was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.