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General NPI Number Information
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NPI Number | 1518850940
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Entity Type | Organization
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Legal Business Name | RENEW SERENITY MENTAL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 11 MUNICIPAL DRIVE SUITE 200
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City | FISHERS
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State | IN
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Zip | 46038
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Country | US
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Telephone | 317-721-9035
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Fax | 317-934-6467
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Provider Business Mailing Address
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Address Line | 9783 E 116TH ST STE 336
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City | FISHERS
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State | IN
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Zip | 46037-2822
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Country | US
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Telephone | 317-721-9035
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Fax | 317-934-6467
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Authorized Official
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Title or Position | CEO/NURSE PRACTITIONER
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Name | ELIZABETH RUSH
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Credential | NP
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Telephone | 317-721-9035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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