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CONNER CREEK LIFE SOLUTIONS LLC
NPI 1164917639
Substance Abuse Rehabilitation Facility in Detroit, MI

Active since June 27, 2018
4777 E OUTER DR, DETROIT, MI 48234(313) 369-5800(313) 859-2000 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2022, May 29, 2020, Feb 14, 2020 and 1 more (4 updates tracked since 2018).

About Conner Creek Life Solutions Llc NPPES

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

CONNER CREEK LIFE SOLUTIONS LLC (NPI 1164917639) is a healthcare organization registered as a substance abuse rehabilitation facility in Detroit, Michigan and active in the NPI registry since June 2018. The organization lists Andrew Mclemore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164917639
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCONNER CREEK LIFE SOLUTIONS LLC
Location Address4777 E OUTER DRDetroit, MI 48234-3241
Mailing Address4777 East Outer DriveDetroit, MI 48234 · (313) 369-5800 · Fax (313) 859-2000
Phone(313) 369-5800
Fax(313) 859-2000
Organization SubpartNo
Authorized OfficialAndrew MclemoreCeo · (313) 369-5800
Enumeration DateJune 27, 2018
Last NPPES UpdateFebruary 25, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1164917639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MI · SA0823265
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4777 E OUTER DR, Detroit, MI 48234
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Other Providers at the Same Location NPPES 20

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

MRS. COLLEEN BETH VERBEKE MA, LLP
Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
MS. MARVINA DARLENE ILER
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
SHAMAN HEALTH EMS LLC
Ambulance (Land Transport)
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (586) 300-5750
ST JOHN HEALTH SYSTEM
General Acute Care Hospital
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5689
RILEY GUEST
Physician Assistant
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-9100
KIMBERLY C CULBREATH MSW, LLMSW
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
MRS. KATRINA DENISE RICHARDSON NP
Nurse Practitioner
4777 E OUTER DR, 2935 WEST. GRAND BLVD.
DETROIT, MI 48234
Wayne County (313) 369-1960
ALLISON JAY RD
Dietitian, Registered
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conner Creek Life Solutions LLC's NPI number?

The NPI number for Conner Creek Life Solutions LLC is 1164917639. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is Conner Creek Life Solutions LLC located?

Conner Creek Life Solutions LLC is located at 4777 E Outer Dr, Detroit, MI 48234. The listed phone number is (313) 369-5800.

What is Conner Creek Life Solutions LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Conner Creek Life Solutions LLC was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.