OrganizationActive
Sacred Life Recovery Services
NPI 1750119061 · Addiction (Substance Use Disorder) Counselor · Lakeport, CA
Provider details
- NPI number
- 1750119061
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Raevan Shepherd, Counselor(707) 295-2304
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2681 Lakeshore Blvd Apt 7
Lakeport, CA 95453-6971
Phone: (707) 295-2304
Street-level locationGet directions
Mailing address
495 N Main St Ste 128
Lakeport, CA 95453-4809
Other names (DBA / former)
- Doing business as
- Sacred Life Recovery Services
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.