NPI 1447628367 · live from the CMS NPI Registry
Calla Wellness Center, LLC
Social Worker, Clinical in West Lafayette, IN. National Provider Identifier 1447628367, active.
NPI record
| NPI | 1447628367 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 164 Sagamore Pkwy W, West Lafayette, IN 47906 |
| Practice phone | 765-276-8642 |
| Enumerated | September 9, 2015 |
| Last updated | September 9, 2015 |
| Authorized official | Lisa Werth, Co-Owner |
| Other names | Calla Wellness Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 890736 (IN) |
| Social Worker, Clinical primary | 1041C0700X | 34004717A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.