| Courage To Talk Therapeutic Counseling Center Pllc | |
|
1883 Wildwood St Ste G Boise ID 83713-5146 | |
| (208) 484-0920 | |
| Not Available |
| Full Name | Courage To Talk Therapeutic Counseling Center Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1883 Wildwood St Ste G, Boise, Idaho |
| Authorized Official Name and Position | Heidi Senethavilay (OWNER) |
| Authorized Official Contact | 2084840920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage To Talk Therapeutic Counseling Center Pllc 4954 N Wild Goose Way Meridian ID 83646-5988 Ph: (208) 484-0920 | Courage To Talk Therapeutic Counseling Center Pllc 1883 Wildwood St Ste G Boise ID 83713-5146 Ph: (208) 484-0920 |
| NPI Number | 1265201073 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 3870936461 |
|---|---|
| Medicare Enrollment ID | O20240212000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265201073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Heidi Senethavilay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669825709 PECOS PAC ID: 4789027376 Enrollment ID: I20240212000338 |
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