Healthcare Provider Details

I. General information

NPI: 1366346835
Provider Name (Legal Business Name): SELAH PSYCHIATRIC CARE & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N BROAD ST STE 5
MIDDLETOWN DE
19709-1052
US

IV. Provider business mailing address

605 N BROAD STREET SUITE 5 369
MIDDLETOWN DE
19709-1052
US

V. Phone/Fax

Practice location:
  • Phone: 302-303-5276
  • Fax: 302-208-8934
Mailing address:
  • Phone: 302-303-5276
  • Fax: 302-208-8934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRYSTAL HAWKINS
Title or Position: PMHNP
Credential: NP
Phone: 302-303-5276