INNOVATIVE CHILD & FAMILY SERVICES NPI 1497358865

NPI Information

NPI: 1497358865
Provider Name: INNOVATIVE CHILD & FAMILY SERVICES
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
3721 W MICHIGAN AVE
LANSING, MI
ZIP 48917
Phone: (517) 515-6176
Get Directions

INNOVATIVE CHILD & FAMILY SERVICES is an adolescent and children mental health clinic center in Lansing, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. INNOVATIVE CHILD & FAMILY SERVICES NPI is 1497358865. The provider is registered as an organization entity type.

The provider's business location address is:

3721 W MICHIGAN AVE
LANSING, MI
ZIP 48917-693
Phone: (517) 515-6176

The provider's authorized official is Ricardo David Tillery .
The authorized official title is Ceo and has the following contact phone number (517) 703-3387.

The enumeration date for this NPI number is 11/18/2020 and was last updated on 11/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	177F00000X	Lodging		No
2	251B00000X	Case Management		No
3	251K00000X	Public Health or Welfare		No
4	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes
6	261QM3000X	Clinic/Center	Medically Fragile Infants and Children Day Care	No
7	311Z00000X	Custodial Care Facility		No
8	253Z00000X	In Home Supportive Care		No
9	251300000X	Local Education Agency (LEA)		No
10	174200000X	Meals		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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