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 1350 W Centre Ave , Portage MI 49024-5361. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Hospitals / Psychiatric Hospital is the primary health care specialty. Pine Rest Christian Mental Health Services can be contacted via phone (269) 910-7327, or through Fennema, Diane via phone (616) 281-6372.

Contact Information

Primary practice address
1350 W Centre Ave Portage MI 49024-5361
Phone: (269) 910-7327
Fax: (269) 910-7328
Website:
Map and Directions
Authorized official contact:
Name: Fennema, Diane
Phone: (616) 281-6372

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Hospitals / Psychiatric Hospital 283Q00000X 1080000018 Michigan
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X SA0390191 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1821414566
LBN Legal business name Pine Rest Christian Mental Health Services
DBA Doing business as
Authorized official Fennema, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2014
Last updated Nov 4th, 2020 - about 5 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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