| Renew Therapeutic Solutions, Pllc | |
|
5340 Plymouth Rd Ste 110 Ann Arbor MI 48105-9558 | |
| (734) 335-4747 | |
| Not Available |
| Full Name | Renew Therapeutic Solutions, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5340 Plymouth Rd Ste 110, Ann Arbor, Michigan |
| Authorized Official Name and Position | Roxann Mudry (OWNER) |
| Authorized Official Contact | 7343354747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Therapeutic Solutions, Pllc 2163 Martin St Westland MI 48186-9393 Ph: (734) 335-4747 | Renew Therapeutic Solutions, Pllc 5340 Plymouth Rd Ste 110 Ann Arbor MI 48105-9558 Ph: (734) 335-4747 |
| NPI Number | 1902362502 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Medicare PECOS PAC ID | 0749521342 |
|---|---|
| Medicare Enrollment ID | O20190409000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902362502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Roxann Mudry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861875817 PECOS PAC ID: 1658612254 Enrollment ID: I20190409001090 |
| Provider Name | Matthew Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245845098 PECOS PAC ID: 9931527751 Enrollment ID: I20200910002508 |
| Provider Name | Desiree' Peeper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699224774 PECOS PAC ID: 9436683190 Enrollment ID: I20241118001459 |
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Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
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