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

Restoration Wellness of Idaho LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1386476380

Restoration Wellness of Idaho LLC is an Addiction (Substance Use Disorder) Counselor in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
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

3164 E Eastgate Dr
Boise, ID 83716-5637
Phone: (208) 794-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X
Interpreter Taxonomy 171R00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1386476380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Long-Azary — Owner · (208) 794-4737
NPI enumeratedAugust 17, 2024
Last updated in NPPESAugust 17, 2024
Certification dateAugust 17, 2024
Mailing addressPo Box 171362, Boise, ID 83717-1362

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