Sober Life Coach LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

A042941116 Issued in CA

Legal business name

SOBER LIFE COACH LLC

Practice address

6757 Friars Rd Unit 14
San Diego, CA 92108-5013

Phone

(619) 674-3501

NPI assigned

Oct 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roman Braly, CADC II

Title

Counsellor

Phone

(619) 674-3501

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509235200000",
    "number": "1780196972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 FRIARS RD UNIT 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 FRIARS RD UNIT 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085013",
            "telephone_number": "619-674-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIFE COACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-29",
        "last_updated": "2017-10-29",
        "status": "A",
        "authorized_official_last_name": "BRALY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "COUNSELLOR",
        "authorized_official_telephone_number": "619-674-3501",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A042941116",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "A042941116",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "A042941116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Sobel, L.AC.
• Mona Sobel, M.D.
• Richard Alan Sobel, PHD
• Stephen Victor Sobel, M.D.
• Sober Coaches of California LLC
• Sober Life Recovery Solutions LLC
• Sober Life Recovery Solutions LLC
• Sober Life Recovery Solutions LLC
• Amy Elizabeth Sobero, DNP, CRNP, FNP-BC
• Zinat Sobhani, M.D.

• Case Management Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.