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INNOVATIVE ADDICTION SERVICES
NPI 1356931513
Clinic/Center - Rehabilitation, Substance Use Disorder in Lansing, MI

Active since January 21, 2021
3721 W MICHIGAN AVE STE 200, LANSING, MI 48917(517) 515-6176 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Addiction Services NPPES

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

INNOVATIVE ADDICTION SERVICES (NPI 1356931513) is a healthcare organization registered as a rehabilitation, substance use disorder in Lansing, Michigan and active in the NPI registry since January 2021. The organization lists Ricardo David Tillery, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356931513
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameINNOVATIVE ADDICTION SERVICES
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 DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1356931513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
3721 W MICHIGAN AVE STE 200, Lansing, MI 48917
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176
INNOVATIVE BEHAVIORAL HEALTH
Clinic/Center
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176
INNOVATIVE CARE NETWORK
Community/Behavioral Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176
COMMUNITY BEHAVIORAL HEALTH AUTHORITY
Community/Behavioral Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176
INNOVATIVE INTEGRATED HEALTH SYSTEMS
Clinic/Center (Health Service)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176
INNOVATIVE HOME HEALTH SERVICES
Home Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176
FAITH HEALTH SYSTEMS
Clinic/Center (Multi-Specialty)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 481-6270
INNOVATIVE BEHAVIORAL SOLUTIONS
Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Eaton County (517) 515-6176

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 Innovative Addiction Services's NPI number?

The NPI number for Innovative Addiction Services is 1356931513. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Innovative Addiction Services located?

Innovative Addiction Services is located at 3721 W Michigan Ave Ste 200, Lansing, MI 48917. The listed phone number is (517) 515-6176.

What is Innovative Addiction Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Innovative Addiction Services was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.