Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Age Management Institute, LLC

Organization Specialist · NPI 1285895912

Renaissance Age Management Institute, LLC provides Specialist services in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29150 Buckingham St Ste 6
Livonia, MI 48154-7502 Not confirmed with CMS for 10 years — call before visiting
Phone: (734) 207-9999
Fax: (734) 943-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4301051672 (MI)

Record details

NPI number1285895912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Gamble — Office Manager · (734) 207-9999
NPI enumeratedJune 25, 2008
Last updated in NPPESJanuary 28, 2016
Mailing address29150 Buckingham St, Suite 6, Livonia, MI 48154-7502

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