MEDICARE: LIVING STONE SOBER LIVING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1154283851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING STONE SOBER LIVING, LLC

Provider Business Mailing Address
First Line	:	227 E DOWNS ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-2005
Country	:	US
Telephone Number	:	209-406-7633
Fax Number	:	209-406-7633

Provider Business Practice Location Address
First Line	:	227 E DOWNS ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-2005
Country	:	US
Telephone Number	:	209-406-7633
Fax Number	:	209-406-7633

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STEVEN D RYAN
Credential	:	SUD
Telephone Number	:	209-406-7633

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

1417052937 — JEFFREY RYAN BENNETT
Practice Location Address:

2005 S MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-464-7722
Practice Fax: 209-464-7404

1437328226 — FRANK PAUL PRECISSI PHARMD
Practice Location Address:

2005 E MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-464-7722
Practice Fax: 209-464-7404

1205642592 — JEFFREY RYAN BENNETT
Practice Location Address:

2005 S MARIPOSA RD
STOCKTON, CA
95205

Practice Phone: 209-464-7722
Practice Fax: 209-464-3780

1417810003 — SUTTER VALLEY MEDICAL FOUNDATION
Practice Location Address:

2488 N CALIFORNIA ST
STOCKTON, CA
95204-5508

Practice Phone: 209-948-3333
Practice Fax:

1043172760 — PENNISI MEDICAL GROUP
Practice Location Address:

1805 N CALIFORNIA ST STE 406
STOCKTON, CA
95204-6033

Practice Phone: 209-277-7806
Practice Fax: 209-851-3853

1013043645 — DR. THOMAS CLARK OLIVER D.C.
Practice Location Address:

3020 PACIFIC AVE
STOCKTON, CA
95204-4919

Practice Phone: 209-466-1234
Practice Fax: 209-466-6181

Directions to “LIVING STONE SOBER LIVING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.