Healthcare Provider Details

I. General information

NPI: 1669301982
Provider Name (Legal Business Name): CHELBY MCCALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 W DELAWARE AVE
WILMINGTON DE
19809-1205
US

IV. Provider business mailing address

203 W DELAWARE AVE
WILMINGTON DE
19809-1205
US

V. Phone/Fax

Practice location:
  • Phone: 443-566-0623
  • Fax:
Mailing address:
  • Phone: 443-566-0623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC-0012061
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: