The Sobriety Shop LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

THE SOBRIETY SHOP LLC

Practice address

1015 Colusa St
Vallejo, CA 94590-4525

Phone

(510) 612-7285

NPI assigned

Apr 8, 2025

Last updated

Apr 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Torre Drue Samonek

Title

Director

Phone

(510) 612-7285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1881488377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PARK ST STE 642",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014507",
            "telephone_number": "510-612-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 COLUSA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904525",
            "telephone_number": "510-612-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOBRIETY SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SAMONEK",
        "authorized_official_first_name": "TORRE",
        "authorized_official_middle_name": "DRUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-612-7285"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teruel, DO
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• Deborah Gayle Theisen, NP
• Marsha Theus
• Sharon Marie Theus
• Robin C. Thiele, R.N.

• Substance Use Disorder Rehabilitation Clinic/Center in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.