Organization · Type 2 NPI

Renaissance Therapy Clinic PLLC

Professional Counselor · Bloomfield Hills, MI

NPI number 1407180284 Active

Practice location

1O West Square Lake Rd, Suite 221
Bloomfield Hills, MI 48302-0466

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401005273 (MI)
Clinical Psychologist 103TC0700X6301000821 (MI)
Clinical Social Worker 1041C0700X6801069906 (MI)

Professional Counselor: Definition to come...

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About NPI 1407180284

Renaissance Therapy Clinic PLLC's National Provider Identifier is 1407180284, issued on Sep 25, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Jul 27, 2010.