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

Throne of Grace, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1063820629

Throne of Grace, LLC is an Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
Specialties on file
3
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

4460 Central Way
Pocatello, ID 83202-5095
Phone: (208) 522-6155
Fax: (208) 522-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1063820629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Pinegar — Executive Director · (208) 522-6155
Other names Renaissance Ranch
NPI enumeratedJuly 28, 2014
Last updated in NPPESJuly 28, 2014
Mailing address1165 S Utah Ave, Idaho Falls, ID 83402-3321

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