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

Sober Stages Inc Outpatient Program

Organization Adult Mental Health Clinic/Center · NPI 1497178966

Sober Stages Inc Outpatient Program is an Adult Mental Health Clinic/Center in Tarzana, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19562 Ventura Blvd Ste 233
Tarzana, CA 91356-2955
Phone: (310) 810-8216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence LR1170411 (CA)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1497178966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Bivans — Executive Director · (310) 810-8216
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address19562 Ventura Blvd, Suite 233, Tarzana, CA 91356-2955

Other providers in Tarzana