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

Myalo Mental Health, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1093544603

Myalo Mental Health, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21639 N 12th Ave Ste 104
Phoenix, AZ 85027-2802
Phone: (602) 647-8249
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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

Record details

NPI number1093544603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Brown — Pmhnp, Owner · (602) 647-8249
NPI enumeratedJuly 31, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address21639 N 12th Ave Ste 104, Phoenix, AZ 85027-2802

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