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SOUL SANCTUARY, LLC
NPI 1003557943
Counselor - Addiction (Substance Use Disorder) in Portland, ME

Active since April 05, 2022
1519 FOREST AVE, PORTLAND, ME 04103(617) 690-9020 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Sanctuary, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUL SANCTUARY, LLC (NPI 1003557943) is a healthcare organization registered as an addiction (substance use disorder) in Portland, Maine and active in the NPI registry since April 2022. The organization lists Lisa Nashawaty, Program Director, as its authorized official.

NPPES Registry Identity

NPI1003557943
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSOUL SANCTUARY, LLC
Location Address1519 FOREST AVEPortland, ME 04103-1805
Mailing Address22 Redlon RdPortland, ME 04102-2218 · (617) 690-9020
Phone(617) 690-9020
Organization SubpartNo
Authorized OfficialLisa NashawatyProgram Director · (617) 690-9020
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1003557943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1519 FOREST AVE, Portland, ME 04103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soul Sanctuary, LLC's NPI number?

The NPI number for Soul Sanctuary, LLC is 1003557943. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Soul Sanctuary, LLC located?

Soul Sanctuary, LLC is located at 1519 Forest Ave, Portland, ME 04103. The listed phone number is (617) 690-9020.

What is Soul Sanctuary, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Soul Sanctuary, LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.