Healthcare Provider Details

I. General information

NPI: 1205785490
Provider Name (Legal Business Name): HIS IDEAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 EXECUTIVE WAY STE 200
REDDING CA
96002-0635
US

IV. Provider business mailing address

930 EXECUTIVE WAY STE 200
REDDING CA
96002-0635
US

V. Phone/Fax

Practice location:
  • Phone: 530-722-1022
  • Fax: 530-722-1058
Mailing address:
  • Phone: 530-722-1022
  • Fax: 530-722-1058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHANNON PIERCE
Title or Position: CEO
Credential: M.S. PSY
Phone: 530-528-2938