| Roundtable Wellness | |
|
904 South St Lafayette IN 47901-1416 | |
| (765) 630-7222 | |
| Not Available |
| Full Name | Roundtable Wellness |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013366251 | NPI | - | NPPES |
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