Provider Demographics
NPI:1174231385
Name:CONNECTIONS FAMILY THERAPY, INC.
Entity type:Organization
Organization Name:CONNECTIONS FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:ASHLEE
Authorized Official - Last Name:TRIGUEROS-THURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-414-2433
Mailing Address - Street 1:27851 BRADLEY RD STE 130C
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2282
Mailing Address - Country:US
Mailing Address - Phone:951-355-5772
Mailing Address - Fax:951-430-4729
Practice Address - Street 1:27851 BRADLEY RD STE 130C
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-2282
Practice Address - Country:US
Practice Address - Phone:951-355-5772
Practice Address - Fax:951-430-4729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health