| Guardian Way Llc | |
|
615 N 18th St Ste 106 Lafayette IN 47904-3413 | |
| (765) 205-8002 | |
| Not Available |
| Full Name | Guardian Way Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 615 N 18th St Ste 106, Lafayette, Indiana |
| Authorized Official Name and Position | Clifford Bernard Norman (OWNER/THERAPIST) |
| Authorized Official Contact | 7277689176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Way Llc 615 N 18th St Suite 106 Lafayette IN 47904-3413 Ph: (765) 205-8002 | Guardian Way Llc 615 N 18th St Ste 106 Lafayette IN 47904-3413 Ph: (765) 205-8002 |
| NPI Number | 1184510489 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184510489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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