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GREAT LAKES ADDICTION RECOVERY SERVICES PLLC
NPI 1568084333
Family Medicine - Addiction Medicine in Adrian, MI

Active since May 14, 2020
142 E MAUMEE ST, ADRIAN, MI 49221(517) 306-2244(866) 465-0269 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Addiction Recovery Services Pllc NPPES

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

GREAT LAKES ADDICTION RECOVERY SERVICES PLLC (NPI 1568084333) is a healthcare organization registered as an addiction medicine in Adrian, Michigan and active in the NPI registry since May 2020. The organization lists Robyn M Jones, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1568084333
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGREAT LAKES ADDICTION RECOVERY SERVICES PLLC
Location Address142 E MAUMEE STAdrian, MI 49221-2735
Mailing Address142 E Maumee StAdrian, MI 49221-2735 · (517) 306-2244 · Fax (866) 465-0269
Phone(517) 306-2244
Fax(866) 465-0269
Organization SubpartNo
Authorized OfficialRobyn M JonesBusiness Manager · (517) 306-2244
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1568084333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
142 E MAUMEE ST, Adrian, MI 49221
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Other Identifiers 1

Medicaid104719902MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

GREG MICHAEL JOHNSON PHD
Psychologist
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
EMILY M POLUS MSN
Nurse Practitioner (Psychiatric/Mental Health)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
CORTEZ AND ASSOCIATES
Social Worker (Clinical)
142 E MAUMEE ST, SUITE 3
ADRIAN, MI 49221
Lenawee County (517) 403-3728
THEETHAYE L. ITTIARA, M.D., P.C.
Community/Behavioral Health
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
DR. THEETHAYE LONAPPAN ITTIARA M.D
Psychiatry & Neurology (Psychiatry)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
VICKI L HALL MA LPC
Counselor (Professional)
142 E MAUMEE ST, SUITE 2
ADRIAN, MI 49221
Lenawee County (517) 263-2625
CAROL ZAWACKI LMSW, SAP
Counselor (Mental Health)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-2625
RENEE THERESA MINGUS MA LLP
Counselor (Professional)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-2625

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 Great Lakes Addiction Recovery Services PLLC's NPI number?

The NPI number for Great Lakes Addiction Recovery Services PLLC is 1568084333. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Great Lakes Addiction Recovery Services PLLC located?

Great Lakes Addiction Recovery Services PLLC is located at 142 E Maumee St, Adrian, MI 49221. The listed phone number is (517) 306-2244.

What is Great Lakes Addiction Recovery Services PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Great Lakes Addiction Recovery Services PLLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.