MEDICARE: CONNECTIONSAZ, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	IFBH9275	OTHER	AZ	STATE LICENSE

General Provider Information

NPI Number	:	1356674030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTIONSAZ, LLC

Provider Business Mailing Address
First Line	:	1205 S 7TH AVE STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3913
Country	:	US
Telephone Number	:	602-253-5100
Fax Number	:	866-882-5456

Provider Business Practice Location Address
First Line	:	1201 S 7TH AVE STE 150C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-4075
Country	:	US
Telephone Number	:	602-416-7600
Fax Number	:	866-882-5456

Authorized Official
Title or Position	:	DIRECTOR, RCM
Name	:	MRS. CHERYL BOYLE
Credential	:
Telephone Number	:	737-600-6039

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	12/09/2025

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Directions to “CONNECTIONSAZ, LLC ” Practice Location

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