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Contact Information

CALLA CLINIC, LLC
164 SAGAMORE PKWY W
WEST LAFAYETTE, IN47906-1569
 Phone: 765-427-5758
 Fax: 866-871-7013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CALLA CLINIC, LLC

NPI # 1881093706
LBN Legal business name CALLA CLINIC, LLC
Authorized official LISA WERTH - (OWNER / CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2014
Last updated 08/15/2014 - About 12 years ago
Identifiers
IN License # 34004717A
IN License # 87000637A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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