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RIVERSIDE RECOVERY
NPI 1871651422
Counselor - Addiction (Substance Use Disorder) in Lewiston, ID

Active since December 05, 2006
1720 18TH AVE, LEWISTON, ID 83501(208) 746-4097(208) 746-2294 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Riverside Recovery NPPES

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

RIVERSIDE RECOVERY (NPI 1871651422) is a healthcare organization registered as an addiction (substance use disorder) in Lewiston, Idaho and active in the NPI registry since December 2006. The organization lists Dana K Boyd, Business Ofc Manager Owner, as its authorized official.

NPPES Registry Identity

NPI1871651422
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePHIL WAGGONER
Location Address1720 18TH AVELewiston, ID 83501-4047
Mailing Address1720 18th AveLewiston, ID 83501 · (208) 746-4097 · Fax (208) 746-2294
Phone(208) 746-4097
Fax(208) 746-2294
Organization SubpartNo
Authorized OfficialDana K BoydBusiness Ofc Manager Owner · (208) 746-4097
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871651422 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 · 138
1720 18TH AVE, Lewiston, ID 83501
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Other Names 1

Doing Business AsRiverside Recovery

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 17

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

SARA LIGHT BENNETT LPC, CADC
Counselor (Professional)
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
KIM ANN NEELY LMSW
Counselor (Mental Health)
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
DR. LEANNE PARKER PHD
Psychologist (Clinical)
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
JAMES FRANKLIN GUMP BS, CADC
Counselor (Addiction (Substance Use Disorder))
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
CYNTHIA FORD CPRC
Peer Specialist
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
RICHARD LANG
Peer Specialist
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 790-0005
MR. ANTHONY BRIAN TENNY CADC
Counselor (Addiction (Substance Use Disorder))
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 816-0015
AMANDA HALL
Counselor (Mental Health)
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097

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 Phil Waggoner's NPI number?

The NPI number for Phil Waggoner is 1871651422. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Phil Waggoner located?

Phil Waggoner is located at 1720 18th Ave, Lewiston, ID 83501. The listed phone number is (208) 746-4097.

What is Phil Waggoner'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 Phil Waggoner was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.