Purvis, Carla Janine

Purvis, Carla Janine is an individual health care provider with primary practice located at 4770 Covert Ave Ste 216D , Evansville IN 47714-5663. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Purvis, Carla Janine can be contacted via phone (812) 200-8177.

Contact Information

Primary practice address
4770 Covert Ave Ste 216D Evansville IN 47714-5663
Phone: (812) 200-8177
Fax: (812) 602-0082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004666A Indiana

Profile Details

NPI number 1598777070
LBN Legal business name Purvis, Carla Janine
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 29th, 2022 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598777070 NPPES
Indiana Other 000000392381 ANTHEM
Indiana Other 839090RRR ANTHEM
Indiana MEDICAID 100240880 ANTHEM
Indiana Other 11551064 ANTHEM

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