MEDICARE: CHRISTINA MCPIKE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1124963129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINA MCPIKE COUNSELING LLC

Provider Business Mailing Address
First Line	:	1027 FULLER AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-3244
Country	:	US
Telephone Number	:	517-290-5299
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 FULLER AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-3244
Country	:	US
Telephone Number	:	517-290-5299
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA MCPIKE
Credential	:	LMSW
Telephone Number	:	517-290-5299

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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