Provider Demographics
NPI:1942184494
Name:IGBINEWEKA, EHIGIE DESTINY (LPC-COUI)
Entity type:Individual
Prefix:
First Name:EHIGIE
Middle Name:DESTINY
Last Name:IGBINEWEKA
Suffix:
Gender:M
Credentials:LPC-COUI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 LARAMIE DR
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-0295
Mailing Address - Country:US
Mailing Address - Phone:208-909-9760
Mailing Address - Fax:
Practice Address - Street 1:1369 E 16TH ST # 2
Practice Address - Street 2:
Practice Address - City:BURLEY
Practice Address - State:ID
Practice Address - Zip Code:83318-2008
Practice Address - Country:US
Practice Address - Phone:208-878-3423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4471166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health