Provider Demographics
NPI:1154126761
Name:SEIDEL, CHEYENNE RHEA
Entity type:Individual
Prefix:MS
First Name:CHEYENNE
Middle Name:RHEA
Last Name:SEIDEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 CARRIAGE HILLS BLVD APT 614
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3645
Mailing Address - Country:US
Mailing Address - Phone:281-795-0379
Mailing Address - Fax:
Practice Address - Street 1:165 CARRIAGE HILLS BLVD APT 614
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3645
Practice Address - Country:US
Practice Address - Phone:281-795-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker