Calico Rose Mckelvey | Santa Rosa, CA • PECOS Search

Calico Rose Mckelvey

Counselor

Behavioral Health & Social Service Providers

1516 Apple Creek Ln, Santa Rosa, CA 95401-7618

PECOS Enrollment

Based on the most recent information from CMS, provider Calico Rose Mckelvey does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1275216939
Provider Type
Individual
Full Name
Mckelvey, Calico Rose
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/9/2023
Last Updated
8/9/2023

Contact Information

Practice Location

1516 Apple Creek Ln, Santa Rosa, CA 95401-7618

Unlisted Fax

Mailing Location

1516 Apple Creek Ln, Santa Rosa, CA 95401-7618

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer