Provider Demographics
NPI:1982730685
Name:MCCALL, EMILY J (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:J
Last Name:MCCALL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 REX CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-2955
Mailing Address - Country:US
Mailing Address - Phone:765-521-0977
Mailing Address - Fax:765-521-0978
Practice Address - Street 1:1911 REX CT
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-2955
Practice Address - Country:US
Practice Address - Phone:765-521-0977
Practice Address - Fax:765-521-0978
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000796A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
11643182OtherCAQH