Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Pine Wellness, PLLC

Organization Clinical Social Worker · NPI 1356106348

Jack Pine Wellness, PLLC is a Clinical Social Worker 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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