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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
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2BH7319OTHERAZLICENSE

General Provider Information

NPI Number : 1376293472
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 : 602-416-7600
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S 7TH AVE STE 150D
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-4075
Country : US
Telephone Number : 602-416-7600
Fax Number :
Authorized Official
Title or Position : PROVIDER NETWORK MANAGMENT ASSOC
Name : MRS. CHERYL BOYLE
Credential :
Telephone Number : 737-600-6039
Provider Enumeration Date : 03/24/2022
Last Update Date : 12/09/2025

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Directions to “CONNECTIONSAZ, LLC ” Practice Location

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