Provider Demographics
NPI:1467964973
Name:AHA CONNECTIONS, LLC
Entity Type:Organization
Organization Name:AHA CONNECTIONS, LLC
Other - Org Name:AHA CONNECTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:CASTLEN
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-314-6760
Mailing Address - Street 1:1120 GRIFFITH AVE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-2812
Mailing Address - Country:US
Mailing Address - Phone:270-314-6760
Mailing Address - Fax:
Practice Address - Street 1:1120 GRIFFITH AVE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-2812
Practice Address - Country:US
Practice Address - Phone:270-314-6760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty