Individual
CARLA JANINE PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
4770 COVERT AVE STE 216D, EVANSVILLE, IN 47714-5663
(812) 200-8177
(812) 602-0082
Mailing address
9209 ALLISON DR, EVANSVILLE, IN 47712-5428
(812) 200-8177
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004666A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392381
ANTHEM
IN
01
—
11551064
CAQH
IN
Enumeration date
08/12/2006
Last updated
06/06/2024
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