MEDICARE: MS. NEELU CHAWLA MS, LMFT

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	106H00000X	Marriage & Family Therapist	35001727A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000806603	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1740568468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NEELU CHAWLA MS, LMFT

Provider Business Mailing Address
First Line	:	202 MYERS RD
Second Line	:
City	:	DANVILLE
State	:	IN
Zip	:	46122-9702
Country	:	US
Telephone Number	:	317-718-8436
Fax Number	:	317-718-8438

Provider Business Practice Location Address
First Line	:	709 S 18TH ST
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-1575
Country	:	US
Telephone Number	:	317-718-8436
Fax Number	:	317-718-8438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	03/17/2026

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