Individual provider · Type 1 NPI
Tierra Yvette Seidle
Mental Health Counselor · Philadelphia, PA
NPI number
1629937743
Active
Practice location
5429 Larchwood Ave
Philadelphia, PA 19143-1421
Mailing address
790 Park Ave
Huntington, NY 11743-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1629937743
Tierra Yvette Seidle's National Provider Identifier is 1629937743, issued on Jan 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 16, 2026.