Pine Rest Christian Mental Health Services in Lake Odessa - Mental Health
Pine Rest Christian Mental Health Services - NPI 1427216241
Pine Rest Christian Mental Health Services is a Mental Health in Lake Odessa, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Pine Rest Christian Mental Health Services is 1427216241. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 4294 Laurel Dr, Lake Odessa, Michigan. You can contact this provider via phone number 6168918770. The mailing address for Pine Rest Christian Mental Health Services is 4294 Laurel Dr, Lake Odessa, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 4294 Laurel Dr, Lake Odessa, Michigan |
| Phone Number | 6168918770 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Fennema P Diane |
| Telephone Number | 6162816372 |
NPI Number Detail
| NPI Number | 1427216241 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 4294 Laurel Dr |
|---|---|
| City | Lake Odessa |
| State | Michigan (MI) |
| Post Code | 488499423 |
| Phone Number | 6168918770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services has been issued the NPI (National Provider Identifier) 1427216241. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services is situated at 4294 Laurel Dr, in the city of Lake Odessa, state of MI, with the zip code 488499423.
What is the Pine Rest Christian Mental Health Services's specialty and taxonomy code?
The Pine Rest Christian Mental Health Services's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427216241 to Pine Rest Christian Mental Health Services?
The Centers for Medicare & Medicaid Services originally issued the 1427216241 to Pine Rest Christian Mental Health Services on 2008-05-29.
When was the information related to Pine Rest Christian Mental Health Services most recently updated or refreshed?
The details pertaining to the Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-04.
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