Healthcare Provider Details

I. General information

NPI: 1023791993
Provider Name (Legal Business Name): CONNECTIONS HEALTHVA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14011 WORTH AVE STE 150
WOODBRIDGE VA
22192-4123
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 520-301-2400
  • Fax:
Mailing address:
  • Phone: 520-301-2400
  • Fax:

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: CHERYL BOYLE
Title or Position: DIRECTOR, CRED
Credential:
Phone: 512-765-9003