Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Innovative Addiction Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1356931513

Innovative Addiction Services is an Addiction (Substance Use Disorder) Counselor in Lansing, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
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Practice location Address checks out

3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Phone: (517) 515-6176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Community Health Clinic/Center Taxonomy 261QC1500X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1356931513
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovative Health Systems
Authorized official Ricardo Tillery — Ceo · (517) 703-3387
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600

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