Healthcare Provider Details

I. General information

NPI: 1023356177
Provider Name (Legal Business Name): RENEWAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12265 HANCOCK ST STE 37
CARMEL IN
46032-5892
US

IV. Provider business mailing address

12265 HANCOCK ST STE 37
CARMEL IN
46032-5892
US

V. Phone/Fax

Practice location:
  • Phone: 317-730-5155
  • Fax: 317-706-6700
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35001673A
License Number StateIN

VIII. Authorized Official

Name: MRS. AMY J HARSHMAN
Title or Position: OWNER/THERAPIST
Credential: MA, LMFT
Phone: 317-730-5155