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

Soul Sanctuary, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1003557943

Soul Sanctuary, LLC is an Addiction (Substance Use Disorder) Counselor in Portland, Maine. Registered with an NPI since 2022.

In the registry since
2022
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

1519 Forest Ave
Portland, ME 04103-1805
Phone: (617) 690-9020
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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 number1003557943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Nashawaty — Program Director · (617) 690-9020
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address22 Redlon Rd, Portland, ME 04102-2218

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