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General NPI Number Information
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NPI Number | 1275323255
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Entity Type | Organization
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Legal Business Name | PILLAR RECOVERY SERVICES
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 43663 MICHIGAN AVE
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City | CANTON
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State | MI
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Zip | 48188-2516
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Country | US
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Telephone | 517-225-4483
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Fax | 517-225-6411
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Provider Business Mailing Address
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Address Line | 43663 MICHIGAN AVE
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City | CANTON
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State | MI
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Zip | 48188-2516
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Country | US
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Telephone | 517-225-4483
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Fax | 517-225-6411
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | MRS. KELSEY WILLIAMS
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Credential |
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Telephone | 517-225-4483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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