Organization
KIMI RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DAWN SMOTHERS LPC (OWNER)
(208) 293-8846
Entity
Organization
Contact information
Practice address
219 GOODING ST N, TWIN FALLS, ID 83301
(208) 293-8846
Mailing address
219 GOODING ST N, TWIN FALLS, ID 83301-6178
(208) 293-8846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
LPC-6156
ID
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
06/16/2025
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