| Pine Rest Christian Mental Health Services | |
|
1700 E Beltline Ave Ne Grand Rapids MI 49525-7044 | |
| (616) 364-1500 | |
| Not Available |
| Full Name | Pine Rest Christian Mental Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1700 E Beltline Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Diane Fennema (MANAGED CARE ADMINISTRATOR) |
| Authorized Official Contact | 6162816372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 | Pine Rest Christian Mental Health Services 1700 E Beltline Ave Ne Grand Rapids MI 49525-7044 Ph: (616) 364-1500 |
| NPI Number | 1891703252 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891703252 | NPI | - | NPPES |
| 500D11133 | Other | MI | NURSE PRACTITIONER |
| 260D17625 | Other | MI | PSYCHIATRIST |
| 680D16189 | Other | MI | PSYCHOLOGISTS |
| 800D16222 | Other | MI | SOCIAL WORKER |
| P10D11275 | Other | MI | MA LLP/DOCTORAL |
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