Organization · Type 2 NPI

Riverside Recovery LLC

Addiction (Substance Use Disorder) Counselor · Lewiston, ID

NPI number 1366827255 Active

Practice location

1720 18th Ave
Lewiston, ID 83501-4047

Fax (208) 746-2294

Other practice locations

  • 155 Main Street, Unit #3, Orofino, ID 83544 · (208) 746-4097
  • 1708 18th Ave, Lewiston, ID 83501-4047 · (208) 746-4097

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCPC-2714 (ID)
Mental Health Counselor 101YM0800XLCPC-5714 (ID)
Social Worker 104100000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366827255

Riverside Recovery LLC's National Provider Identifier is 1366827255, issued on Jul 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lewiston, ID. The record was last updated on Dec 16, 2025.