Dr. Ralph Luciani, D.O. – Medical Director

A member of the American Society of Addiction Medicine and the American Academy of Addiction Psychiatry states, “I consider myself an advocate for those suffering from the chronic, relapsing disease of Substance Use Disorder; a disease mostly misunderstood as a pure behavioral problem when in fact it is a disease of disrupted brain chemistry. Patients need the compassion, respect, and treatment due anyone with a chronic disease. I am dedicated to this cause.”

Dr. Luciani began practicing Addiction Medicine in January of 2013 and became the Medical Director of Transitional Living Communities in Mesa, Arizona and was DEA certified as a DATA 2000 physician to prescribe Suboxone medication for substance abuse. In the summer of 2016 Dr. Luciani became Medical Director of Silver Sands Recovery and is leading the SSR team with the dignity our clients deserve.

Rob Heinrich, LPC – Clinical Director

Rob brings years of varied and in depth experience to Silver Sands. He graduated with a Masters in Counseling in ’92 from Denver Seminary. As a state approved supervisor and Licensed Professional Counselor, Rob gives much needed insight and guidance to the team he helps oversee. He integrates his strong dependence on and the reality of the grace of God into his therapy and loves to help others strengthen their own faith in their journey. His theoretical applications and specialized training includes EMDR, Somatic Experiencing, CBT, DBT, and a strong integration on the power of love and relationship with a person centered approach. He is also an EAGALA trained therapist and equine specialist which he incorporates into his work with addictions. Rob has seen first-hand the power of integrating a 12 Step approach with empirically tried and tested therapeutic approaches that Silver Sands Recovery applies.

Rob is excited to be part of Silver Sands because he recognizes the passion of the key people in the organization are of true depth, the kind of people that would do whatever it takes to see other’s reach freedom of sobriety.

Lisa Waknin – CEO

CEO of Silver Sands Recovery, Lisa’s founding principal is to provide a superior foundation for Long Term Sobriety. As the parent of an addict, Lisa knows firsthand the devastation addiction has on all concerned. She works side by side with families, helping them bring bottom up to the addict thereby getting them into treatment. Her many years of trying to help her own daughter (sober over two years) has led Lisa to immerse herself in the field of recovery. Teaming up with medical and clinical experts and adding in her own true experiences from running a successful $60M company to being the parent of an addict has given this program a unique perspective. Parents from clients are quoted, “Finally I have someone I can speak with that knows what I went through and knows what these kids need. She’s a voice of reason, has compassion and cares.” Lisa always makes herself available to families in need.

Brian McEnroe aka Bird – VP

If asked how Brian McEnroe got his nickname his answer is quite simply this, “I was as yellow as Big Bird when I got sober eight years ago.” Standing at 6’4″, Bird is the real deal. He knows how to get these kids sober and on a routine to stay that way. Partnering with Lisa, Bird brought his love of sports to Silver Sands Recovery and created a Sports Division that helps our clients just as much as the therapy does. Finding a healthy outlet with team sports such as basketball, baseball, volleyball, brings to the table another dimension in recovery that is needed just as much as any other aspect. Bird knows it takes massive action to get results. Meetings, therapy, clinical care, medical care, sports, work, sober fun, they are all important because when you leave here you need to know to put your sobriety first and to do everything it takes to make you stay that way.

Alexandra (Lex) Tiddens – Admissions and Utilization Review Director


Originally from New Mexico, Lex arrived in Prescott, AZ in 2014 seeking substance abuse treatment. Upon her arrival, Lex immediately realized that she wanted to have a career in the behavioral health field. Since then she has worked in multiple sectors of recovery, including residential, medical, billing, and is currently the Admissions and Utilization Review Director at Silver Sands Recovery. Lex is passionate about showing those suffering that there is light at the end of the tunnel and a way out of this disease of chronic relapse. She is committed to helping clients maintain long-term sobriety and make their admission process a calm, stress free experience.

Kate Perlman – Primary Therapist

Kate is a Licensed Associate Counselor and primary therapist at Silver Sands Recovery. Kate’s experience and education have provided her with a solid understanding of substance use disorders and mental health disorders, as well as how both affect individuals and their families. Kate is trained in Acceptance and Commitment Therapy and Internal Family Systems which are her preferred modalities for helping clients transition from lives of isolation and turmoil to lives of connection and peace. Kate’s passion lies in helping others to reconnect with themselves in order to heal and experience lasting emotional freedom.

Heather Bowman – Primary Therapist

Heather, a Prescott native, has multiple years of experience in the substance abuse and behavioral health field including trauma informed care. Heather has a bachelor’s degree in Psychology from the University of Phoenix, a master’s degree in Family and Human Development from Arizona State University, is a Certified Clinical Trauma Specialist and is currently completing her Graduate Certificate through ASU as Certified Addictions Specialist. Heather’s focus and approach is drawn from multiple modalities including cognitive-behavioral therapy, emotionally focused therapy, and cognitive processing trauma-based therapy. She believes that there is no “one size fits all” in treatment or recovery, aims at “meeting the individual where they are” while assessing what is most effective for each client. Heather brings knowledge, compassion, and experience to Silver Sands and enjoys working with clients to help foster their own growth, hope and potential.

Steve Nolan, BHT, Family Liaison, Strategic After Care Planning

Steve has been an active member in the Prescott recovery community since arriving here in 2014. He has great passion for the twelve steps and helping others establish a foundation in recovery that will allow them to build long term sobriety and success in life. Steve brings education, knowledge and experience from all different walks of life and applies them with compassion to the field of recovery. His outstanding work with clients has helped them achieve success in applying for jobs, school, and other interests. His integral role at SSR has bridged families and clients on plans to create visibility and build credibility within their lives moving forward.

Anderson Juneau – Operations Administrator

Anderson P. Juneau, originally from Louisiana, has been a part of the Silver Sands team since 2018. Anderson studied at Louisiana State University and brings years of business experience to his current position. As Operations Administrator, Anderson’s focus is mainly on facilitating daily operations as well as ensuring compliance with policies and procedures. Anderson also interacts with the clients as a group facilitator, sharing his experience with recovery with them. Anderson effectively shares his “southern charm” and sense of humor with both clients and staff in an effort to always keep morale at a high around the office. Anderson is an excellent public speaker and utilizes that skill to inspire hope in others that long-term sobriety is, indeed, possible.

Andy Altiveros – Medication Room Manager

Andy has over 11 years’ experience as a BHT and PCT in the health care field. For Ten of those year he worked strictly in Detox for substance abuse. While working in Detox he received his IV Certification and gained knowledge of treatment and medication protocols for treating patients in the acute stages of withdrawal.

Andy joined the Silver Sands Recovery team in 2021 working in the med office and is currently Medication Room Manager. Andy is responsible for providing oversight and monitoring of client medications; works in tandem with Dr Luciani and other medical and clinical professionals to establish consistent and comprehensive care for all clients.

Marshall Kelin – Community Director

Marshall Kelin is originally from Colorado. Marshall has been a part of the Silver Sands Recovery team since 2017. Marshall has worked as a Behavioral Health Technician and is currently serving as Community Director for Silver Sands Recovery. As Community Director, Marshall provides supervision for the Behavioral Health Technician Staff as well as coordinating outside activities such as hikes, field trips, golf, and other extracurricular outings for clients.

Janette Costales, RN

Janette is a registered nurse for 26 years. Janette trains all medical personal in medication self-administration. Her professionalism in industry standards and protocol in procedures leads our team to the highest levels of excellence in compliancy.