Provider Demographics
NPI:1811572829
Name:THE LIFE CONNECTION INC.
Entity Type:Organization
Organization Name:THE LIFE CONNECTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:270-491-2121
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:KY
Mailing Address - Zip Code:42776-0269
Mailing Address - Country:US
Mailing Address - Phone:270-491-2121
Mailing Address - Fax:
Practice Address - Street 1:81 BUDS LAKE RD
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:KY
Practice Address - Zip Code:42776-9424
Practice Address - Country:US
Practice Address - Phone:270-491-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health