INNOVATIVE BEHAVIORAL HEALTH
NPI 1164035051
Clinic/Center in Lansing, MI

Q: What is Innovative Behavioral Health's NPI number?

The NPI number for Innovative Behavioral Health is 1164035051. It was assigned to this organization in the NPPES registry on August 28, 2020.

Q: What is Innovative Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 28, 2020

3721 W MICHIGAN AVE STE 200, LANSING, MI 48917(517) 515-6176 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Innovative Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE BEHAVIORAL HEALTH (NPI 1164035051) is a healthcare organization registered as a clinic/center in Lansing, Michigan and active in the NPI registry since August 2020. The organization lists Ricardo David Tillery, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164035051

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameINNOVATIVE BEHAVIORAL HEALTH

Location Address3721 W MICHIGAN AVE STE 200Lansing, MI 48917-3600

Mailing Address3721 W Michigan Ave Ste 200Lansing, MI 48917-3600 · (517) 515-6176

Phone(517) 515-6176

Organization SubpartYesParent: Innovative Health Systems

Authorized OfficialRicardo David TilleryCeo · (517) 703-3387

Enumeration DateAugust 28, 2020

NPPES CertifiedAugust 28, 2020

✔ NPI 1164035051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

3721 W MICHIGAN AVE STE 200, Lansing, MI 48917

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CANDACE LYNN TILLERY LMSW, CAADC, SAP

Social Worker (Clinical)