Pine Rest Christian Mental Health Services in Grand Rapids - Counselor
Pine Rest Christian Mental Health Services - NPI 1174532147
Pine Rest Christian Mental Health Services is a Counselor in Grand Rapids, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Counselor. The NPI Number for Pine Rest Christian Mental Health Services is 1174532147. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Pine Rest Christian Mental Health Services is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF GENE |
|---|---|
| Authorized Official Name | Fennema Diane |
| Telephone Number | 6162816372 |
NPI Number Detail
| NPI Number | 1174532147 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350D148360 | MI | PEDIATRICS | |
| P10D11275 | MI | PSYCHOLOGISTS-MA, DOCTORA | |
| 260D17625 | MI | PSYCHIATRISTS | |
| 680D16189 | MI | PSYCHOLOGISTS | |
| 70D16083 | MI | MULTISPECIALTY | |
| 110D148370 | MI | INTERNAL MD | |
| 500D11133 | MI | NURSE PRACTICIONERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services has been issued the NPI (National Provider Identifier) 1174532147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Pine Rest Christian Mental Health Services is physically located?
The Pine Rest Christian Mental Health Services is situated at the following address: 300 68Th St Se, Grand Rapids, MI 495486927.
What is the Pine Rest Christian Mental Health Services's specialty and taxonomy code?
The Pine Rest Christian Mental Health Services's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Pine Rest Christian Mental Health Services receive the assignment of its 1174532147 from the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services was issued its 1174532147 by the Centers for Medicare & Medicaid Services on 2006-08-07.
As of what date were the details related to Pine Rest Christian Mental Health Services most recently updated or revised?
The information pertaining to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-04.