Provider Demographics
NPI:1194218891
Name:RHODEN, CHELSEA DIANE KING (MA, LPC-INTERN)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:DIANE KING
Last Name:RHODEN
Suffix:
Gender:F
Credentials:MA, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25510 TOMBALL PKWY
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-7730
Mailing Address - Country:US
Mailing Address - Phone:713-306-7061
Mailing Address - Fax:
Practice Address - Street 1:25510 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7730
Practice Address - Country:US
Practice Address - Phone:713-306-7061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health