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Organization
RENEWAL THERAPY SERVICES LLC
Active
Organization
RENEWAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA JONES (OWNER)
(260) 267-5631
Entity
Organization
Contact information
Practice address
3030 LAKE AVE STE 23, FORT WAYNE, IN 46805-5428
(260) 267-5631
Mailing address
3030 LAKE AVE STE 23, FORT WAYNE, IN 46805-5428
(260) 267-5631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/25/2024
Last updated
02/16/2026
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