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NPI 1023356177

NPI 1023356177 : RENEWAL, LLC : CARMEL, IN

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General NPI Number Information
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    NPI Number           |    1023356177
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENEWAL, LLC 
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Dates
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    Enumeration Date     |    01/24/2013
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    12265 HANCOCK ST STE 37 
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    City                 |    CARMEL
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    State                |    IN
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    Zip                  |    46032-5892
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    Country              |    US
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    Telephone            |    317-730-5155
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    Fax                  |    317-706-6700
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Provider Business Mailing Address
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    Address Line         |    12265 HANCOCK ST STE 37 
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    City                 |    CARMEL
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    State                |    IN
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    Zip                  |    46032-5892
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MRS. AMY J HARSHMAN 
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    Credential           |    MA, LMFT
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    Telephone            |    317-730-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    35001673A
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    License Number State |    IN
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