Pine Rest Lake Odessa Office

LBN: Pine Rest Christian Mental Health Services
Pine Rest Lake Odessa Office is an health care organization with primary practice located at 4294 Laurel Dr , Lake Odessa MI 48849-9423. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Hospitals / Psychiatric Hospital, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Pine Rest Christian Mental Health Services can be contacted via phone (616) 891-8770, or through Fennema, Diane P via phone (616) 281-6372.

Contact Information

Primary practice address
4294 Laurel Dr Lake Odessa MI 48849-9423
Phone: (616) 891-8770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fennema, Diane P
Phone: (616) 281-6372

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Hospitals / Psychiatric Hospital 283Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1427216241
LBN Legal business name Pine Rest Christian Mental Health Services
DBA Doing business as Pine Rest Lake Odessa Office
Authorized official Fennema, Diane P
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2008
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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