MEDICARE: DR. HEIDI SENETHAVILAY PHD, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	SE-202979	ID
2	103TC1900X	Counseling Psychologist	LPC-7920	ID

General Provider Information

NPI Number	:	1669825709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI SENETHAVILAY PHD, LPC

Provider Business Mailing Address
First Line	:	4954 N WILD GOOSE WAY
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5988
Country	:	US
Telephone Number	:	702-467-0876
Fax Number	:

Provider Business Practice Location Address
First Line	:	1883 WILDWOOD ST STE G
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83713-5146
Country	:	US
Telephone Number	:	208-484-0920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	12/21/2023

Similar Medicare Providers

1558212761 — COURAGE TO TALK THERAPEUTIC COUNSELING CENTER PLLC
Practice Location Address:

1883 N WILDWOOD ST STE B
BOISE, ID
83713-5146

Practice Phone: 208-484-0920
Practice Fax:

1447396486 — ANNE M BRIGGS DC LLC
Practice Location Address:

1839 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-322-3306
Practice Fax: 877-211-1313

1184763302 — CALLY R STONE MS,CCC-SLP
Practice Location Address:

1835 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-898-0988
Practice Fax: 208-898-9022

1093073405 — DR. JOSEPH J REITAN DPT
Practice Location Address:

1835 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-519-8305
Practice Fax:

1285004143 — AMY L OLSON MA, CCC-SLP
Practice Location Address:

1835 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-252-0847
Practice Fax:

1215396478 — JENNIFER ANN FULTON HOFER NP-C
Practice Location Address:

1883 WILDWOOD ST STE C
BOISE, ID
83713-5146

Practice Phone: 208-901-7006
Practice Fax:

Directions to “ DR. HEIDI SENETHAVILAY PHD, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.