Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Psychiatry LLC

Organization Family Nurse Practitioner · NPI 1467917898

Southern Psychiatry LLC is a Family Nurse Practitioner in Crestview, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Hospital Dr
Crestview, FL 32539-7355
Phone: (850) 687-0887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1467917898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee McCormack — Owner · (850) 687-0887
NPI enumeratedFebruary 11, 2019
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address201 N Blue Heron Dr, Santa Rosa Beach, FL 32459-3039

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