Dr. Heidi Senethavilay, PHD, LPC
Dr. Heidi Senethavilay, PHD, LPC is a Mental Health Counselor in Boise, Idaho. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Idaho.
- Years since qualifying
- 21
- Licensed in
- ID
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1883 Wildwood St Ste GBoise, ID 83713-5146
Phone: (208) 484-0920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counseling Psychologist (primary) | Taxonomy 103TC1900X · Licence LPC-7920 (ID) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence SE-202979 (ID) |
Record details
| NPI number | 1669825709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHD , LPC |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2016 |
| Last updated in NPPES | December 21, 2023 |
| Certification date | December 21, 2023 |
| Mailing address | 4954 N Wild Goose Way, Meridian, ID 83646-5988 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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