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PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1619341310


NPI Information

NPI: 1619341310
Provider Name: PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
9090 S RODGERS CT SE
CALEDONIA, MI
ZIP 49316
Phone: (616) 891-8770
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PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a social worker in Caledonia, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI is 1619341310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9090 S RODGERS CT SE
CALEDONIA, MI
ZIP 49316-052
Phone: (616) 891-8770

The provider's authorized official is Diane 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 11/18/2015 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
1101YP2500XCounselorProfessionalMICHIGANNo
2103T00000XPsychologistMICHIGANNo
3104100000XSocial WorkerMICHIGANYes
42084P0800XPsychiatry & NeurologyPsychiatryMICHIGANNo
5283Q00000XPsychiatric HospitalNo
6363A00000XPhysician AssistantMICHIGANNo
7363L00000XNurse PractitionerMICHIGANNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.