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NPI Code Detail

MEDICARE: CONNECTIONSAZ, LLC

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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)OTC7437AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Z222888OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTC9273OTHERAZSTATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194135152
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 150A
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, CREDENTIALING
Name : MRS. CHERYL BOYLE
Credential :
Telephone Number : 602-416-7647
Provider Enumeration Date : 04/30/2014
Last Update Date : 12/09/2025

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Practice Location Address:
1201 S 7TH AVE STE 150B
PHOENIX, AZ
85007-4075
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1201 S 7TH AVE STE 150D
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1144602715 — CONNECTIONSAZ, LLC
Practice Location Address:
1201 S 7TH AVE STE 150E
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1356674030 — CONNECTIONSAZ, LLC
Practice Location Address:
1201 S 7TH AVE STE 150C
PHOENIX, AZ
85007-4075
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Practice Fax: 866-882-5456
1518200674 — DR. THERESA L. COSTALES M.D.
Practice Location Address:
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PHOENIX, AZ
85007-4075
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Practice Fax:
1831570852 — UPC-PHXMEM-CLINIC
Practice Location Address:
1201 S 7TH AVE STE 150
PHOENIX, AZ
85007-4075
Practice Phone: 602-253-5100
Practice Fax: 866-882-5456

Directions to “CONNECTIONSAZ, LLC ” Practice Location

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