Renaissance Therapy Clinic Pllc
LBN: Renaissance Therapy Clinic Pllc
Renaissance Therapy Clinic Pllc is an health care organization with primary practice located at 1O West Square Lake Rd Suite 221, Bloomfield Hills MI 48302-0466. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Renaissance Therapy Clinic Pllc can be contacted via phone (248) 990-0140, or through Vandalov, Vladimir Robert via phone (248) 990-0140.
Contact Information
Primary practice address
1O West Square Lake Rd Suite 221
Bloomfield Hills MI 48302-0466
Phone: (248) 990-0140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401005273 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301000821 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801069906 | Michigan |
Profile Details
| NPI number | 1407180284 |
|---|---|
| LBN Legal business name | Renaissance Therapy Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Vandalov, Vladimir Robert PSYD, LPC, NCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2009 |
| Last updated | Jul 27th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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