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 provides Clinical Social Worker services 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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