| Life Connect Health Llc | |
|
415 Church St Unit 2802 Nashville TN 37219 | |
| (276) 356-5262 | |
| Not Available |
| Full Name | Life Connect Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 415 Church St, Nashville, Tennessee |
| Authorized Official Name and Position | Jana K Dreyzehner (CEO) |
| Authorized Official Contact | 8448002735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Connect Health Llc 415 Church St Unit 2802 Nashville TN 37219-1847 Ph: (844) 800-2735 | Life Connect Health Llc 415 Church St Unit 2802 Nashville TN 37219 Ph: (276) 356-5262 |
| NPI Number | 1841693215 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Medicare PECOS PAC ID | 6608193602 |
|---|---|
| Medicare Enrollment ID | O20150401001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841693215 | NPI | - | NPPES |
| 004945581 | Medicaid | VA | |
| 3821648 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD0000029394 (Tennessee) | Primary |
| Provider Name | Jana K Dreyzehner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407773 PECOS PAC ID: 2860437142 Enrollment ID: I20131118000429 |
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