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Contact Information

PINE REST CHRISTIAN MENTAL HEALTH SERVICES
2611 WASHINGTON STREET
PELLA, IA50219
 Phone: 641-628-9599
 Fax: 641-621-1493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for PINE REST CHRISTIAN MENTAL HEALTH SERVICES · (Female)

NPI Number 1326117805
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2006
Last updated 11/04/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA Medicaid 0295840
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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