Organization
RENEWAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE EHART MA LLP (SOLE MEMBER / AUTHORIZED OFFICIAL)
(248) 837-0303
Entity
Organization
Contact information
Practice address
409 PLYMOUTH RD STE 126, PLYMOUTH, MI 48170-4080
(248) 837-0303
Mailing address
409 PLYMOUTH RD STE 126, PLYMOUTH, MI 48170-4080
(248) 837-0303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
03/26/2026
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