Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jack Pine Wellness, PLLC

Organization Clinical Social Worker · NPI 1356106348

Jack Pine Wellness, PLLC provides Clinical Social Worker services in Bad Axe, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

138 Hartshorn St
Bad Axe, MI 48413-1358
Phone: (989) 523-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356106348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crysta Ransom-Soper — Owner · (989) 523-0002
NPI enumeratedFebruary 19, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address138 Hartshorn St, Bad Axe, MI 48413-1358

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