Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse for Recovery, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1013298058

Lighthouse for Recovery, LLC is an Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1135 Yellowstone Ave Ste D
Pocatello, ID 83201-5082
Phone: (208) 232-2908
Fax: (208) 232-5423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCSW 28016 (ID)

Record details

NPI number1013298058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Slaven — Executive Director · (208) 237-3365
NPI enumeratedSeptember 5, 2011
Last updated in NPPESSeptember 5, 2011
Mailing address147 W Linden Ave, Chubbuck, ID 83202-2306

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