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LIGHTHOUSE FOR RECOVERY, LLC
NPI 1013298058
Counselor - Addiction (Substance Use Disorder) in Pocatello, ID

Active since September 05, 2011
1135 YELLOWSTONE AVE, SUITE D, POCATELLO, ID 83201(208) 232-2908(208) 232-5423 Get Directions Write a Review

NPPES record last updated: September 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse For Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE FOR RECOVERY, LLC (NPI 1013298058) is a healthcare organization registered as an addiction (substance use disorder) in Pocatello, Idaho and active in the NPI registry since September 2011. The organization lists William C. Slaven, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013298058
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameLIGHTHOUSE FOR RECOVERY, LLC
Location Address1135 YELLOWSTONE AVE, SUITE DPocatello, ID 83201-5082
Mailing Address147 W Linden AveChubbuck, ID 83202-2306 · (208) 237-3365 · Fax (208) 232-5423
Phone(208) 232-2908
Fax(208) 232-5423
Organization SubpartNo
Authorized OfficialWilliam C. SlavenExecutive Director · (208) 237-3365
Enumeration DateSeptember 5, 2011
✔ NPI 1013298058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ID · LCSW 28016
1135 YELLOWSTONE AVE, Pocatello, ID 83201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM C. SLAVEN LCSW, CADC
Social Worker (Clinical)
1135 YELLOWSTONE AVE, SUITE D
POCATELLO, ID 83201
Bannock County (208) 237-3365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse For Recovery, LLC's NPI number?

The NPI number for Lighthouse For Recovery, LLC is 1013298058. It was assigned to this organization in the NPPES registry on September 5, 2011.

Where is Lighthouse For Recovery, LLC located?

Lighthouse For Recovery, LLC is located at 1135 Yellowstone Ave Suite D, Pocatello, ID 83201. The listed phone number is (208) 232-2908.

What is Lighthouse For Recovery, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lighthouse For Recovery, LLC was last updated on September 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.