Provider Demographics
NPI:1134836182
Name:TRUETT, CALLAH (LCSWA)
Entity type:Individual
Prefix:
First Name:CALLAH
Middle Name:
Last Name:TRUETT
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CONNER DRIVE
Mailing Address - Street 2:BLD 3 SUITE 107
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:703-232-5470
Mailing Address - Fax:
Practice Address - Street 1:109 CONNER DRIVE
Practice Address - Street 2:BLD 3 SUITE 107
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:703-232-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0183341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical