Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENEWAL WELLNESS PLLC
NPI 1063974848
Psychologist - Clinical in Plymouth, MI

Q: What is Renewal Wellness PLLC's NPI number?

The NPI number for Renewal Wellness PLLC is 1063974848. It was assigned to this organization in the NPPES registry on April 2, 2019.

Q: What is Renewal Wellness PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 02, 2019

409 PLYMOUTH RD STE 126, PLYMOUTH, MI 48170(248) 837-0303 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Apr 2, 2019 (2 updates tracked since 2019).

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About Renewal Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEWAL WELLNESS PLLC (NPI 1063974848) is a healthcare organization registered as a clinical in Plymouth, Michigan and active in the NPI registry since April 2019. The organization lists Nicole Ehart, Sole Member / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063974848

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameRENEWAL WELLNESS PLLC

Location Address409 PLYMOUTH RD STE 126Plymouth, MI 48170-4080

Mailing Address409 Plymouth Rd Ste 126Plymouth, MI 48170-4080 · (248) 837-0303

Phone(248) 837-0303

Organization SubpartNo

Authorized OfficialNicole EhartSole Member / Authorized Official · (248) 837-0303

Enumeration DateApril 2, 2019

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1063974848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

409 PLYMOUTH RD STE 126, Plymouth, MI 48170

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA NOWAK MD PC

Psychiatry & Neurology (Psychiatry)

409 PLYMOUTH RD STE 126
PLYMOUTH, MI 48170

Wayne County (734) 404-7002

NICOLE EHART MA, LLP

Psychologist (Clinical)

409 PLYMOUTH RD STE 126
PLYMOUTH, MI 48170

Wayne County (248) 837-0303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renewal Wellness PLLC's NPI number?

The NPI number for Renewal Wellness PLLC is 1063974848. It was assigned to this organization in the NPPES registry on April 2, 2019.

Where is Renewal Wellness PLLC located?

Renewal Wellness PLLC is located at 409 Plymouth Rd Ste 126, Plymouth, MI 48170. The listed phone number is (248) 837-0303.

What is Renewal Wellness PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Renewal Wellness PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Renewal Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renewal Wellness PLLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.