| Renewal, LLC | |
|
12265 Hancock St Ste 37 Carmel IN 46032-5892 | |
| (317) 730-5155 | |
| (317) 706-6700 |
| Full Name | Renewal, LLC |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12265 Hancock St Ste 37, Carmel, Indiana |
| Authorized Official Name and Position | Amy J Harshman (OWNER/THERAPIST) |
| Authorized Official Contact | 3177305155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal, LLC 12265 Hancock St Ste 37 Carmel IN 46032-5892 | Renewal, LLC 12265 Hancock St Ste 37 Carmel IN 46032-5892 Ph: (317) 730-5155 |
| NPI Number | 1023356177 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 12/09/2025 |
| Certification Date | 12/09/2025 |
| Medicare PECOS PAC ID | 8820564198 |
|---|---|
| Medicare Enrollment ID | O20260415002346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023356177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 35001673A (Indiana) | Primary |
| Provider Name | Deborah a Randazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750504205 PECOS PAC ID: 5890929533 Enrollment ID: I20131011000048 |
| Provider Name | Morgan Elizabeth West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710300025 PECOS PAC ID: 1254619349 Enrollment ID: I20161024002790 |
| Provider Name | Christine L. Gillies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043369176 PECOS PAC ID: 8022362730 Enrollment ID: I20181115002785 |
| Provider Name | Caroline Ann Kiszka Brosmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942581764 PECOS PAC ID: 1850706094 Enrollment ID: I20210219001755 |
| Provider Name | Randal Dewell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558512491 PECOS PAC ID: 0840649752 Enrollment ID: I20231218000344 |
| Provider Name | Kelly Herr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194075127 PECOS PAC ID: 8820564008 Enrollment ID: I20260415002438 |
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