Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Wellness Group, PLLC

Organization Health Service Clinic/Center · NPI 1487597415

Longevity Wellness Group, PLLC is a Health Service Clinic/Center in West Bloomfield, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7479 Middlebelt Rd Ste 3
West Bloomfield, MI 48322-4175
Phone: (248) 387-9414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1487597415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Hana — Owner · (248) 228-4598
Other names Revive Longevity
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address7479 Middlebelt Rd Ste 3, West Bloomfield, MI 48322-4175

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