Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pine Rest Christian Mental Health Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1841791357

Pine Rest Christian Mental Health Services is an Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548
Phone: (616) 281-6372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence SA0410417 (MI)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence SA0410417 (MI)

Record details

NPI number1841791357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Fennema — Managed Care Administrator · (616) 281-6372
NPI enumeratedFebruary 21, 2018
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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