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

Renewal Wellness PLLC

Organization Psychologist · NPI 1063974848

Renewal Wellness PLLC is a Psychologist in Plymouth, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
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

409 Plymouth Rd Ste 126
Plymouth, MI 48170-4080
Phone: (248) 837-0303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Psychologist Taxonomy 103T00000X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X

Record details

NPI number1063974848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Ehart — Sole Member / Authorized Official · (248) 837-0303
NPI enumeratedApril 2, 2019
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address409 Plymouth Rd Ste 126, Plymouth, MI 48170-4080

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