Keystone Tides, PLLC - About Us

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At Keystone Tides Mental Health, we understand that comfort and warmth can come from the most joyful and unexpected sources—even through a screen. Meet Beau, our beloved canine co-therapist, who might pop into your telehealth sessions. While he primarily offers support from behind the scenes, his occasional on-screen appearances during virtual sessions provide a unique comfort and a smile, easing the digital distance. Whether you’re joining us for an initial consultation or a follow-up visit, Beau is always ready to offer a virtual wag or a curious glance, adding a touch of home-like comfort to your telehealth experience. 

Before becoming a psychiatric nurse practitioner, I worked as an airplane mechanic, flight attendant instructor, automotive mechanic and insurance adjuster. While these careers were rewarding in their own ways, they left me searching for deeper purpose. My background in mechanical systems was an unexpected preparation for nursing: teaching me that separate systems work together to keep the whole functioning, and when one system breaks down or becomes overwhelmed, it affects the others - much like the human body and mind.

Today, I find fulfillment in helping others navigate their path toward wellness. I have provided psychiatric medication management and brief therapy in residential, inpatient, and outpatient settings, with a primary focus on working with children, adolescents, and autistic individuals of all ages. My approach is practical, collaborative, and tailored to each person’s unique needs. Whether you are starting medication for the first time or adjusting an existing plan, I am here to help.

Health Care Education

• Autism Center of Excellence Training, University of Washington
• Post-Masters Psychiatric Mental Health Nurse Practitioner Certificate, Regis College  
• Master of Science in Nursing, Johns Hopkins University 
• Bachelor of Science in Integrative Healthcare, Metropolitan State University of Denver 

Hi, I’m Makhiya, the Care Coordinator here at Keystone Tides PLLC. My role is to ensure your experience with us is as smooth and stress-free as possible. From the moment you reach out, I’m here to assist with scheduling appointments, answering your questions, and guiding you through the process of receiving the care you deserve.

I understand that seeking mental health support can sometimes feel overwhelming, and my goal is to offer a sense of comfort and support every step of the way. With a background in healthcare administration, I’m dedicated to making sure that every patient feels heard, respected, and cared for. My approach is rooted in empathetic and active listening, and I’m always ready to engage with positivity.

Whether you're a new patient or have been with us for a while, I’m always here to help address any concerns or questions you may have. I look forward to assisting you on your journey toward better mental health.

My name is Chan, a registered Nurse (BSN) trained in the Philippines, who shifted from bedside nursing to become a Medical Virtual Assistant. My nursing background grounded me in patient care, compassion, and clinical accuracy—particularly in hospital settings—before transitioning to virtual health support roles.

Over the years, I’ve developed a professional philosophy centered on compassion, empathy, and patient-centeredness. I strive to create safe, trusting environments where individuals are truly seen, heard, and valued—whether in clinical care or virtual communication. My goal is to offer both clinical competency and emotional presence to support mental health and well-being.

Beyond my work, I enjoy traveling across the Philippines, one island at a time, and uncovering hidden neighborhoods or local cafés. I cherish quality moments with loved ones, and find joy in simple life rhythms. At home, I love relaxing walks with my two Maltese dogs, whose company brings warmth and ease into my daily routine. Ever curious and open-minded, I’m always up for trying new hobbies or exploring new facets of life.

As a Care Coordinator, I support the care team behind the scenes to keep things organized, responsive, and compassionate. With experience in customer service and healthcare, I make sure clients feel heard and supported—whether it’s scheduling appointments, answering questions, or connecting them with Ms. Jess or the right resources.

I assist Ms. Jess with scribing and help ensure patients receive quality, timely care. I’ve been recognized as a Top Performer at a leading BPO company and hold a Six Sigma Yellow Belt, reflecting my dedication to both excellence and empathy.

As a mom of two, I’ve learned patience, balance, and resilience—qualities that help me care for our clients and support the team every day. I’m proud to be part of a practice that puts personalized, client-centered care first.