# BRAIN MIND BODY MENTAL HEALTH PLLC

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

## Provider details

- **NPI number:** 1285435651
- **Authorized official:** TYANNE VAN DNP (MANAGER/OWNER)
- **Authorized official phone:** (602) 617-8390

## Contact information

- **Practice address:** 1901 W WARNER RD STE 3, CHANDLER, AZ 85224-2634
- **Practice address phone:** (480) 863-8499
- **Mailing address:** 1901 W WARNER RD STE 3, CHANDLER, AZ 85224-2634

## 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:** 03/21/2025
- **Last updated:** 03/21/2025