Healthcare Provider Details

I. General information

NPI: 1467386912
Provider Name (Legal Business Name): CALLIE HOELKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 HIGHWAY 10 W
ORANGE CITY IA
51041-1500
US

IV. Provider business mailing address

920 10TH ST
SHELDON IA
51201-2039
US

V. Phone/Fax

Practice location:
  • Phone: 712-707-9222
  • Fax:
Mailing address:
  • Phone: 507-822-3497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: