Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ADDICTION TREATMENT SERVICES, INC.
Active
Organization
ADDICTION TREATMENT SERVICES, INC.
Active
Other names
Phoenix Hall, Dakoske Hall, Outpatient, The Pier
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LIPINSKI (EXECUTIVE DIRECTOR)
(231) 346-5223
Entity
Organization
Contact information
Practice address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686
(231) 346-5216
(231) 943-2590
Mailing address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(231) 346-5223
(231) 943-2590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
NULL
172A00000X
Driver
—
—
324500000X
Substance Abuse Rehabilitation Facility
SA0280084
MI
363A00000X
Physician Assistant
Primary
5601005691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QMP000005341778
—
MI
05
—
QMP000005341779
—
MI
01
—
SA0280010
SA LICENSE - DAKOSKE
MI
01
—
SA0280084
SA LICENSE - THE PIER
MI
01
—
SA0280085
SA LICENSE - OUTPATIENT
MI
01
—
SA0280088
SA LICENSE - PHOENIX
MI
Enumeration date
04/05/2016
Last updated
01/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers