Healthcare Provider Details

I. General information

NPI: 1144602715
Provider Name (Legal Business Name): CONNECTIONSAZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S 7TH AVE STE 150E
PHOENIX AZ
85007-4075
US

IV. Provider business mailing address

1205 S 7TH AVE STE 105
PHOENIX AZ
85007-3913
US

V. Phone/Fax

Practice location:
  • Phone: 602-416-7600
  • Fax: 866-882-5456
Mailing address:
  • Phone: 602-253-5100
  • Fax: 866-882-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERYL BOYLE
Title or Position: PROVIDER NETWORK MANAGEMENT ASSSOC.
Credential: MHN, BSHCM.
Phone: 737-600-6039