Sacred Life Recovery Services
Sacred Life Recovery Services is an Addiction (Substance Use Disorder) Counselor in Lakeport, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2681 Lakeshore Blvd Apt 7Lakeport, CA 95453-6971
Phone: (707) 295-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1750119061 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raevan Shepherd — Counselor · (707) 295-2304 |
| Other names | Sacred Life Recovery Services |
| NPI enumerated | July 26, 2024 |
| Last updated in NPPES | September 19, 2025 |
| Certification date | September 19, 2025 |
| Mailing address | 495 N Main St Ste 128, Lakeport, CA 95453-4809 |
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Shantaylah Castner, SUDRC
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MS. Debra Ann Townsel
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Mr. Armond Thomas Urbano, CAS, RAS
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