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RENAISSANCE THERAPY CLINIC PLLC
NPI 1407180284
Counselor - Professional in Bloomfield Hills, MI

Active since September 25, 2009
1O WEST SQUARE LAKE RD, SUITE 221, BLOOMFIELD HILLS, MI 48302(248) 990-0140 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissance Therapy Clinic Pllc NPPES

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

RENAISSANCE THERAPY CLINIC PLLC (NPI 1407180284) is a healthcare organization registered as a professional in Bloomfield Hills, Michigan and active in the NPI registry since September 2009. The organization lists Vladimir Robert Vandalov, Owner, as its authorized official.

NPPES Registry Identity

NPI1407180284
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameRENAISSANCE THERAPY CLINIC PLLC
Location Address1O WEST SQUARE LAKE RD, SUITE 221Bloomfield Hills, MI 48302-0466
Mailing Address1o West Square Lake Rd, Suite 101Bloomfield Hills, MI 48302-0466 · (248) 990-0140 · Fax (888) 510-9669
Phone(248) 990-0140
Organization SubpartNo
Authorized OfficialVladimir Robert VandalovOwner · (248) 990-0140
Enumeration DateSeptember 25, 2009
Last NPPES UpdateJuly 27, 2010
✔ NPI 1407180284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401005273
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301000821 (MI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801069906 (MI)
1O WEST SQUARE LAKE RD, Bloomfield Hills, MI 48302
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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

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 Renaissance Therapy Clinic PLLC's NPI number?

The NPI number for Renaissance Therapy Clinic PLLC is 1407180284. It was assigned to this organization in the NPPES registry on September 25, 2009.

Where is Renaissance Therapy Clinic PLLC located?

Renaissance Therapy Clinic PLLC is located at 1O West Square Lake Rd Suite 221, Bloomfield Hills, MI 48302. The listed phone number is (248) 990-0140.

What is Renaissance Therapy Clinic PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Renaissance Therapy Clinic PLLC was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.