Roundtable Wellness | |
904 South St Lafayette IN 47901-1416 | |
(765) 630-7222 | |
Not Available |
Full Name | Roundtable Wellness |
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Speciality | Clinic/center - Adult Mental Health |
Location | 904 South St, Lafayette, Indiana |
Authorized Official Name and Position | Renee M Tilt (OWNER & REGISTERED DIETITIAN) |
Authorized Official Contact | 7656307222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roundtable Wellness 904 South St Lafayette IN 47901-1416 Ph: (765) 630-7222 | Roundtable Wellness 904 South St Lafayette IN 47901-1416 Ph: (765) 630-7222 |
NPI Number | 1013366251 |
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Provider Enumeration Date | 06/08/2016 |
Last Update Date | 04/20/2023 |
Certification Date | 04/20/2023 |
Identifier | Type | State | Issuer |
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1013366251 | NPI | - | NPPES |
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