Renewal Wellness PLLC
NPI 1063974848ActiveOrganization· Psychologist, Clinical· Plymouth, MI
Psychologist, Clinical in Plymouth, Michigan, registered in NPPES in April 2019. The authorized official on file is Nicole Ehart, MA LLP, Sole Member / Authorized Official.
Overview
| NPI | 1063974848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2019 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist | 103T00000X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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