Calla Granger
Individual provider Active NPI Mental Health Counselor · Bluffton, IN
NPI 1730749706 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1730749706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39003564A (IN)
- Practice address
- 1115 S Main St
Bluffton, IN 46714-3616 - Phone
- (260) 824-1071
- Fax
- (260) 824-5578
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003564A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Center Inc | Current |
Accepting new patients | |
| Park Center Inc | Past |
Accepting new patients |
Locations
1115 S Main St
Bluffton, IN 46714
Phone (260) 824-1071
909 E State Blvd
Fort Wayne, IN 46805
Phone (260) 481-2718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003564A | IN | Yes |
Addresses
Primary practice location
1115 S Main St
Bluffton, IN 46714-3616
Mailing address
909 E State Blvd
Fort Wayne, IN 46805-3458
Phone (260) 482-9125
Other practice location 1
322 N Main St
Kokomo, IN 46901-4622
Phone (765) 453-8555
Other names
- Calla Wolfe
Other providers in Bluffton, IN
- Lindsey Garber
- Marcelo R Gavilanez
- George W Merkle MD PC
- Christina B Gilbert
- Michael D Graham
- John J Greenman
- Ryan Christopher Gustus
- Jeremy L Hartman
- Matthew Douglas Hartman
- Tanner Hartman
All providers in Bluffton, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.