Healthcare Provider Details

I. General information

NPI: 1659294056
Provider Name (Legal Business Name): CHRISTINE STEVENS LMSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11831 MAPLE RD STE 2
BIRCH RUN MI
48415-8487
US

IV. Provider business mailing address

8888 BIRCH RUN RD
MILLINGTON MI
48746-9573
US

V. Phone/Fax

Practice location:
  • Phone: 989-295-2869
  • Fax:
Mailing address:
  • Phone: 989-295-2869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE STEVENS
Title or Position: OWNER
Credential: LMSW
Phone: 989-295-2869