Healthcare Provider Details

I. General information

NPI: 1114607140
Provider Name (Legal Business Name): CONNECTIONSWA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11410 NE 122ND WAY STE S250
KIRKLAND WA
98034-6945
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: 602-253-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHERYL BOYLE
Title or Position: DIRECTOR, CRED
Credential:
Phone: 737-600-6039