Organization Active NPI

Innovative Therapeutic Solutions, LLC

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1093987240
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801089872 Issued in MI
Legal business name
INNOVATIVE THERAPEUTIC SOLUTIONS, LLC
Practice address
155 W. Congress St.
Suite 306
Detroit, MI 48226-3272
Phone
(313) 964-2648
Fax
(866) 468-9584
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tasha Lyntrice Williams, LMSW, CAADC, SAP
Title
Executive Director
Phone
(313) 658-3346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6801089872 MI
Community/Behavioral Health Agency 251S00000X 6801089872 MI Primary

Addresses

Primary practice location

155 W. Congress St.
Suite 306
Detroit, MI 48226-3272

Mailing address

PO Box 44805
Detroit, MI 48244-0805
Phone (313) 964-2648

National Provider Directory

National Provider Directory

Locations

155 W Congress St
Detroit, MI 48226

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1093987240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44805",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440805",
            "telephone_number": "313-964-2648",
            "fax_number": "866-468-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W. CONGRESS ST.",
            "address_2": "SUITE 306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263272",
            "telephone_number": "313-964-2648",
            "fax_number": "866-468-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "LYNTRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-658-3346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, CAADC, SAP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801089872",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801089872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.