Healthcare Provider Details

I. General information

NPI: 1588570105
Provider Name (Legal Business Name): ELINA LEA CAIN PMHNP-BC, MRN, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17180 W SWEETWATER AVE UNIT 1133
SURPRISE AZ
85388-3406
US

IV. Provider business mailing address

17180 W SWEETWATER AVE UNIT 1133
SURPRISE AZ
85388-3406
US

V. Phone/Fax

Practice location:
  • Phone: 417-392-0376
  • Fax:
Mailing address:
  • Phone: 417-392-0376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number287375
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number22074
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: