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SACRED LIFE RECOVERY SERVICES
NPI 1750119061
Counselor - Addiction (Substance Use Disorder) in Lakeport, CA

Active since July 26, 2024
2681 LAKESHORE BLVD APT 7, LAKEPORT, CA 95453(707) 295-2304 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jul 26, 2024 (2 updates tracked since 2024).

About Sacred Life Recovery Services NPPES

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

SACRED LIFE RECOVERY SERVICES (NPI 1750119061) is a healthcare organization registered as an addiction (substance use disorder) in Lakeport, California and active in the NPI registry since July 2024. The organization lists Raevan Shepherd, Counselor, as its authorized official.

NPPES Registry Identity

NPI1750119061
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSACRED LIFE RECOVERY SERVICES
Location Address2681 LAKESHORE BLVD APT 7Lakeport, CA 95453-6971
Mailing Address495 N Main St Ste 128Lakeport, CA 95453-4809 · (707) 295-2304
Phone(707) 295-2304
Organization SubpartNo
Authorized OfficialRaevan ShepherdCounselor · (707) 295-2304
Enumeration DateJuly 26, 2024
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1750119061 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
2681 LAKESHORE BLVD APT 7, Lakeport, CA 95453
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Other Names 1

Doing Business AsSacred Life Recovery Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Sacred Life Recovery Services's NPI number?

The NPI number for Sacred Life Recovery Services is 1750119061. It was assigned to this organization in the NPPES registry on July 26, 2024.

Where is Sacred Life Recovery Services located?

Sacred Life Recovery Services is located at 2681 Lakeshore Blvd Apt 7, Lakeport, CA 95453. The listed phone number is (707) 295-2304.

What is Sacred Life Recovery Services'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 Sacred Life Recovery Services was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.