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PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1427216241


NPI Information

NPI: 1427216241
Provider Name: PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Doing Business As: PINE REST LAKE ODESSA OFFICE

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4294 LAUREL DR
LAKE ODESSA, MI
ZIP 48849
Phone: (616) 891-8770
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PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a psychiatry psychiatry neurology in Lake Odessa, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI is 1427216241. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pine Rest Lake Odessa Office.

The provider's business location address is:

4294 LAUREL DR
LAKE ODESSA, MI
ZIP 48849-423
Phone: (616) 891-8770

The provider's authorized official is Diane P Fennema .
The authorized official title is Managed Care Administrator and has the following contact phone number (616) 281-6372.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 11/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
42084P0800XPsychiatry & NeurologyPsychiatryYes
5283Q00000XPsychiatric HospitalNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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