# MIND HEALTH RESTORATION PLLC

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

## Provider details

- **NPI number:** 1114711025
- **Authorized official:** CARYN SHAHIN PMHNP-BC (OWNER)
- **Authorized official phone:** (602) 556-4643

## Contact information

- **Practice address:** 21455 S ELLSWORTH ROAD SET 25, QUEEN CREEK, AZ 85142
- **Practice address phone:** (480) 520-1981
- **Mailing address:** 2840 E GERMANN RD \# 1088, CHANDLER, AZ 85286-1400

## 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:** 04/07/2025
- **Last updated:** 06/16/2025