Healthcare Provider Details

I. General information

NPI: 1437892924
Provider Name (Legal Business Name): AMBER CHEYENNE SCHNEIDER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 32ND AVE STE 160
HUDSONVILLE MI
49426-0017
US

IV. Provider business mailing address

5445 32ND AVE STE 160
HUDSONVILLE MI
49426-0017
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-8280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801118546
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: