| Renewal Wellness, Pllc | |
|
300 E Long Lake Rd Ste 130 Bloomfield Hills MI 48304-2430 | |
| (248) 837-0303 | |
| Not Available |
| Full Name | Renewal Wellness, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 300 E Long Lake Rd Ste 130, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Nicole Ehart (SOLE MEMBER) |
| Authorized Official Contact | 2488370303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Wellness, Pllc 300 E Long Lake Rd Ste 130 Bloomfield Hills MI 48304-2430 Ph: () - | Renewal Wellness, Pllc 300 E Long Lake Rd Ste 130 Bloomfield Hills MI 48304-2430 Ph: (248) 837-0303 |
| NPI Number | 1063974848 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063974848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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