Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renewal Therapy Services LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1699503136

Renewal Therapy Services LLC is an Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3030 Lake Ave Ste 23
Fort Wayne, IN 46805-5428
Phone: (260) 267-5631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Marriage & Family Therapist Taxonomy 106H00000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1699503136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Jones — Owner · (260) 267-5631
NPI enumeratedJuly 25, 2024
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address3030 Lake Ave Ste 23, Fort Wayne, IN 46805-5428

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