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

Innovative Behavioral Health

Organization Case Management Agency · NPI 1164035051

Innovative Behavioral Health is a Case Management Agency in Lansing, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
10

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

Clinic/Center (primary) Taxonomy 261Q00000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Methadone Clinic Taxonomy 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1164035051
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovative Health Systems
Authorized official Ricardo Tillery — Ceo · (517) 703-3387
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600

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