| Pine Rest Lake Odessa Office | |
|
4294 Laurel Dr Lake Odessa MI 48849-9423 | |
| (616) 891-8770 | |
| Not Available |
| Full Name | Pine Rest Lake Odessa Office |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4294 Laurel Dr, Lake Odessa, Michigan |
| Authorized Official Name and Position | Diane P 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 Lake Odessa Office 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 | Pine Rest Lake Odessa Office 4294 Laurel Dr Lake Odessa MI 48849-9423 Ph: (616) 891-8770 |
| NPI Number | 1427216241 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427216241 | NPI | - | NPPES |
Enz Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 911 4th Ave Ste 104, Lake Odessa, MI 48849 Phone: 616-890-5688 | |
Jordan Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Jordan Lake St, Lake Odessa, MI 48849 Phone: 616-374-7410 |