MEDICARE: CALMPLEX COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1306693460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALMPLEX COUNSELING LLC

Provider Business Mailing Address
First Line	:	101 N PLAZA EAST BLVD STE 106
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2804
Country	:	US
Telephone Number	:	812-508-8418
Fax Number	:	812-508-8478

Provider Business Practice Location Address
First Line	:	101 N PLAZA EAST BLVD STE 106
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2804
Country	:	US
Telephone Number	:	812-508-8418
Fax Number	:	812-508-8478

Authorized Official
Title or Position	:	PSYCHOTHERAPIST/OWNER
Name	:	AMBER N GREEN
Credential	:	LCSW
Telephone Number	:	812-508-8418

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	06/19/2026

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