Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanctuary Sober Living LLC

Organization Counselor · NPI 1629649132

Sanctuary Sober Living LLC is a Counselor in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11645 N Cave Creek Rd
Phoenix, AZ 85020-1300
Phone: (602) 612-3816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X
Behavior Technician Taxonomy 106S00000X
Acupuncturist Taxonomy 171100000X
Meals Provider Taxonomy 174200000X
Case Management Agency Taxonomy 251B00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1629649132
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSanctuary Sober Living LLC
Authorized official Joseph Landin — Administrator · (480) 309-9945
Other names Src Cave Creek
NPI enumeratedJuly 6, 2021
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing addressPo Box 9952, Phoenix, AZ 85068-0952

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