ROUNDTABLE WELLNESS NPI 1013366251

NPI Information

NPI: 1013366251
Provider Name: ROUNDTABLE WELLNESS
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
904 SOUTH ST
LAFAYETTE, IN
ZIP 47901
Phone: (765) 630-7222
Get Directions

ROUNDTABLE WELLNESS is an adult mental health clinic center in Lafayette, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ROUNDTABLE WELLNESS NPI is 1013366251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

904 SOUTH ST
LAFAYETTE, IN
ZIP 47901-416
Phone: (765) 630-7222

The provider's authorized official is Renee M Tilt .
The authorized official title is Owner & Registered Dietitian and has the following contact phone number (765) 630-7222.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133V00000X	Dietitian, Registered		No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	101YM0800X	Counselor	Mental Health	No
4	261QM0850X	Clinic/Center	Adult Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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