Healthcare Provider Details

I. General information

NPI: 1225945835
Provider Name (Legal Business Name): RECOVERY COUNSELING IDAHO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 WEST MELANIE AVE UNIT A
WASILLA AK
99654
US

IV. Provider business mailing address

784 S CLEARWATER LOOP STE B
POST FALLS ID
83854-9599
US

V. Phone/Fax

Practice location:
  • Phone: 208-309-1948
  • Fax: 208-534-6608
Mailing address:
  • Phone: 208-309-1948
  • Fax: 208-534-6608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. CAITLIN HEGWOOD
Title or Position: OWNER
Credential: PHD, LPC-S, LPC, MAC
Phone: 208-309-1948