Pine Rest Christian Mental Health Services

LBN: Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health Services is an health care organization with primary practice located at 1050 Silver Dr , Traverse City MI 49684-5749. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is the primary health care specialty. Pine Rest Christian Mental Health Services can be contacted via phone (231) 947-2255, or through Fennema, Diane via phone (616) 281-6372.

Contact Information

Primary practice address
1050 Silver Dr Traverse City MI 49684-5749
Phone: (231) 947-2255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fennema, Diane
Phone: (616) 281-6372

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / School 1041S0200X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1124171954
LBN Legal business name Pine Rest Christian Mental Health Services
DBA Doing business as
Authorized official Fennema, Diane
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2007
Last updated Nov 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124171954 NPPES
Michigan Other 260D17625 BCBS PSYCHIATRIST
Michigan Other 680D16189 BCBS PSYCHIATRIST
Michigan Other P10D11275 BCBS PSYCHIATRIST
Michigan Other 110D148370 BCBS PSYCHIATRIST
Michigan Other 350D148360 BCBS PSYCHIATRIST
Michigan Other 500D11133 BCBS PSYCHIATRIST
Michigan Other 800D16222 BCBS PSYCHIATRIST
Michigan Other PSYCHIATIRSTS BCBS PSYCHIATRIST

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