Healthcare Provider Details

I. General information

NPI: 1851781926
Provider Name (Legal Business Name): RENACHANTEL MCCLAIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13854 LAKESIDE CIR
STERLING HEIGHTS MI
48313-1443
US

IV. Provider business mailing address

PO BOX 1171
STERLING HEIGHTS MI
48311-1171
US

V. Phone/Fax

Practice location:
  • Phone: 248-284-3203
  • Fax: 248-715-6505
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101006637
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: