Healthcare Provider Details

I. General information

NPI: 1316673841
Provider Name (Legal Business Name): CONNECTIONS HEALTHVA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2022
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: 602-416-7600
  • Fax:
Mailing address:
  • Phone: 602-416-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHERYL BOYLE
Title or Position: PROVIDER NETWORK MANAGMENT ASSOCIAT
Credential:
Phone: 737-600-6039