| Lighthouse For Recovery, Llc | |
|
1135 Yellowstone Ave Suite D Pocatello ID 83201-5082 | |
| (208) 232-2908 | |
| (208) 232-5423 |
| Full Name | Lighthouse For Recovery, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1135 Yellowstone Ave, Pocatello, Idaho |
| Authorized Official Name and Position | William C. Slaven (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2082373365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse For Recovery, Llc 147 W Linden Ave Chubbuck ID 83202-2306 Ph: (208) 237-3365 | Lighthouse For Recovery, Llc 1135 Yellowstone Ave Suite D Pocatello ID 83201-5082 Ph: (208) 232-2908 |
| NPI Number | 1013298058 |
|---|---|
| Provider Enumeration Date | 09/05/2011 |
| Last Update Date | 09/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013298058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCSW 28016 (Idaho) | Primary |
Allies Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Lander St, Pocatello, ID 83201 Phone: 208-234-2094 Fax: 208-234-2637 | |
Apex Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave, Suite C-3, Pocatello, ID 83201 Phone: 208-904-0225 Fax: 866-704-4580 | |
Behavioral Reform Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave Ste D, Pocatello, ID 83201 Phone: 208-238-9400 Fax: 208-238-9401 | |
Psychological Assessment Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Broncho Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 E Ross Fork Road #41, Pocatello, ID 83202 Phone: 208-220-7520 | |
A To Z Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Washington Ave, Pocatello, ID 83201 Phone: 208-478-9822 Fax: 208-478-6790 |