| Takt, Llc | |
|
1918 Bayberry Ln West Lafayette IN 47906-4869 | |
| (765) 404-4987 | |
| Not Available |
| Full Name | Takt, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1918 Bayberry Ln, West Lafayette, Indiana |
| Authorized Official Name and Position | Barbara A Osborn (MANAGING MEMBER) |
| Authorized Official Contact | 7654044987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Takt, Llc Po Box 303 Lafayette IN 47902-0303 Ph: (765) 404-4987 | Takt, Llc 1918 Bayberry Ln West Lafayette IN 47906-4869 Ph: (765) 404-4987 |
| NPI Number | 1356818785 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 1355683335 |
|---|---|
| Medicare Enrollment ID | O20190422002551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356818785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Barbara Osborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194756890 PECOS PAC ID: 4183726912 Enrollment ID: I20101207001044 |
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