Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gathered Connections Counseling Professional Limited Liability Com

Organization Clinical Social Worker · NPI 1851004584

Gathered Connections Counseling Professional Limited Liability Com is a Clinical Social Worker in Glendale, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

17505 N 79th Ave Ste 304C
Glendale, AZ 85308-8729
Phone: (623) 521-5096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1851004584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Wiest — Owner · (623) 521-5096
NPI enumeratedDecember 27, 2022
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address30175 W Mulberry Dr, Buckeye, AZ 85396-3158

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