Sobriety Support Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOBRIETY SUPPORT SOLUTIONS

Practice address

147 El Levante
San Clemente, CA 92672-3138

Phone

(603) 966-8389

Fax

(949) 606-8518

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Timothy Doolin

Title

Cfo

Phone

(888) 238-1038

Specialties & licenses 1

Addresses

Other names 2

• THORS TREATMENT CENTER Doing business as
• The House of Rising Son Doing business as

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1790332344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HWY # 800",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 EL LEVANTE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723138",
            "telephone_number": "603-966-8389",
            "fax_number": "949-606-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY SUPPORT SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "DOOLIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "888-238-1038"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THORS TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The House of Rising Son",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The House of Rising Son",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Smullin, M.S., CCC- SLP
• Elyse Edler Snipes, M.A.
• Sobertec LLC
• Sobertec LLC
• Sobertec LLC
• Socal Detox, LLC
• Victoria Joy Soneff
• Krista Sornborger, DPT
• South County Addiction Treatment Services, Inc.
• South County Urgent Care Medical Corporation

• Community/Behavioral Health Agency in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.