Amanda Marie McCrorey, SUDA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gooding, ID

NPI 1134098643 · NPPES record last updated Nov 3, 2025

Key facts

NPI
1134098643
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
333 10TH Ave W
Gooding, ID 83330-1522
Phone
(208) 595-9113
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Relentless Recovery & Wellness, LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ID Yes

Addresses

Primary practice location

333 10TH Ave W
Gooding, ID 83330-1522

Mailing address

333 10TH Ave W
Gooding, ID 83330-1522
Phone (208) 595-9113

Other providers in Gooding, ID

All providers in Gooding, ID · Addiction (Substance Use Disorder) Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.