Provider Demographics
NPI:1740085521
Name:SIEMSEN, RHEA NICOLE (LPC-A, LCDC)
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:NICOLE
Last Name:SIEMSEN
Suffix:
Gender:
Credentials:LPC-A, LCDC
Other - Prefix:
Other - First Name:RHEA
Other - Middle Name:NICOLE
Other - Last Name:MEDINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2289 STATE HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-8659
Mailing Address - Country:US
Mailing Address - Phone:903-975-4613
Mailing Address - Fax:
Practice Address - Street 1:307 S JUPITER RD STE 110
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3051
Practice Address - Country:US
Practice Address - Phone:469-861-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97546101YM0800X
TX17262101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health