Innovative Behavioral Health

LBN: Innovative Behavioral Health
Innovative Behavioral Health is an health care organization with primary practice located at 3721 W Michigan Ave Ste 200 , Lansing MI 48917-3600. The organization recently has 10 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Innovative Behavioral Health can be contacted via phone (517) 515-6176, or through Tillery, Ricardo David via phone (517) 703-3387.

Contact Information

Primary practice address
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600
Phone: (517) 515-6176
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tillery, Ricardo David MBA, LCSW, SAP
Phone: (517) 703-3387

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1164035051
LBN Legal business name Innovative Behavioral Health
DBA Doing business as
Authorized official Tillery, Ricardo David MBA, LCSW, SAP
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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