1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Counselor
  6. NPI Profile

RESTORATION WELLNESS OF IDAHO LLC
NPI 1386476380
Counselor - Pastoral in Boise, ID

Active since August 17, 2024
3164 E EASTGATE DR, BOISE, ID 83716(208) 794-4737 Get Directions Write a Review

NPPES record last updated: August 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Restoration Wellness Of Idaho Llc NPPES

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

RESTORATION WELLNESS OF IDAHO LLC (NPI 1386476380) is a healthcare organization registered as a pastoral in Boise, Idaho and active in the NPI registry since August 2024. The organization lists Melanie Elish Long-azary, Owner, as its authorized official.

NPPES Registry Identity

NPI1386476380
Entity TypeOrganization
Primary Taxonomy101YP1600X
Legal Business NameRESTORATION WELLNESS OF IDAHO LLC
Location Address3164 E EASTGATE DRBoise, ID 83716-5637
Mailing AddressPo Box 171362Boise, ID 83717-1362 · (208) 794-4737
Phone(208) 794-4737
Organization SubpartNo
Authorized OfficialMelanie Elish Long-azaryOwner · (208) 794-4737
Enumeration DateAugust 17, 2024
NPPES CertifiedAugust 17, 2024
✔ NPI 1386476380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedInterpreterTaxonomy 171R00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
3164 E EASTGATE DR, Boise, ID 83716
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Restoration Wellness Of Idaho LLC's NPI number?

The NPI number for Restoration Wellness Of Idaho LLC is 1386476380. It was assigned to this organization in the NPPES registry on August 17, 2024.

Where is Restoration Wellness Of Idaho LLC located?

Restoration Wellness Of Idaho LLC is located at 3164 E Eastgate Dr, Boise, ID 83716. The listed phone number is (208) 794-4737.

What is Restoration Wellness Of Idaho LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Restoration Wellness Of Idaho LLC was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.