Pine Rest Christian Mental Health Services
Counselor Clinic
700 E Hammond Rd Ste 200, Traverse City
Michigan, 49686-8641
231-947-2255 231-947-5982
Maps & DirectionsPine Rest Christian Mental Health Services is a Counselor Clinic in Traverse City, Michigan. This organization is also known as sub part of Pine Rest Christian Mental Health Services. It is located at 700 E Hammond Rd Ste 200, Traverse City, MI and its contact number is 231-947-2255. The authorized person for Pine Rest Christian Mental Health Services is Diane M Fennema
who is Managed Care Administrator of the clinic and his/her contact number is 616-281-6372.
Pine Rest Christian Mental Health Services Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Pine Rest Christian Mental Health Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pine Rest Christian Mental Health Services |
| Specialization: | Counselor |
| Clinic Address: | 700 E Hammond Rd Ste 200, Traverse City,
Michigan, 49686-8641 |
| Phone: | 231-947-2255 |
| Fax: | 231-947-5982 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Diane M Fennema |
| Position: | Managed Care Administrator |
| Contact Number: | 616-281-6372 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pine Rest Christian Mental Health Services clinic are as mentioned below.
| NPI Number: | 1124171954 |
| Parent Organization: | Pine Rest Christian Mental Health Services |
| NPI Enumeration Date: | 18 Jan, 2007 |
| NPI Last Update On: | 18 Jun, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Rest Christian Mental Health Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatric Hospital | | | Primary | |
| Counselor | | | Secondary | |
| Professional | | | Secondary | |
| Clinical Neuropsychologist | | | Secondary | |
| Behavioral Analyst | | | Secondary | |
| Psychologist | | | Secondary | |
| Social Worker | | | Secondary | |
| School | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Psychiatry | | | Secondary | |
| Occupational Therapist | | | Secondary | |
| Speech-language Pathologist | | | Secondary | |
| Physician Assistant | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 260D17625 | Other | Michigan | Bcbs Psychiatrist |
| 680D16189 | Other | Michigan | Psychologists |
| P10D11275 | Other | Michigan | Psychologists-doctoral Ll |
| 110D148370 | Other | Michigan | Internal Medicine |
| 350D148360 | Other | Michigan | Pediatrics |
| 500D11133 | Other | Michigan | Nurse Practioners |
| 800D16222 | Other | Michigan | Social Workers |
| PSYCHIATIRSTS | Other | Michigan | Multispecialty |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pine Rest Christian Mental Health Services
300 68th St Se,
Grand Rapids, Michigan |
| Zip: | 49548-6927 |
| Phone Number: | 616-455-5000 |
| Fax Number: | -- |
Patients can reach Pine Rest Christian Mental Health Services at
700 E Hammond Rd Ste 200, Traverse City, Michigan or can
call to book an appointment on 231-947-2255.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.