Healthcare Provider Details

I. General information

NPI: 1275323255
Provider Name (Legal Business Name): PILLAR RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43663 MICHIGAN AVE
CANTON MI
48188-2516
US

IV. Provider business mailing address

43663 MICHIGAN AVE
CANTON MI
48188-2516
US

V. Phone/Fax

Practice location:
  • Phone: 517-225-4483
  • Fax: 517-225-6411
Mailing address:
  • Phone: 517-225-4483
  • Fax: 517-225-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELSEY WILLIAMS
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential:
Phone: 517-225-4483