IndividualActive
Heaven Smith, BS, SUDA
NPI 1407698616 · Addiction (Substance Use Disorder) Counselor · Twin Falls, ID
Provider details
- NPI number
- 1407698616
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BS, SUDA
- Sex
- Female
- Sole proprietor
- No
- License
- 11701 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
219 Gooding St N
Twin Falls, ID 83301-6178
Phone: (208) 293-8846
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 684
Castleford, ID 83321-0684
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.