| Wellpoint Recovery LLC | |
|
3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 | |
| (765) 771-7108 | |
| (765) 269-9569 |
| Full Name | Wellpoint Recovery LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3930 Mezzanine Dr Ste B, Lafayette, Indiana |
| Authorized Official Name and Position | Amabel Piris (PRACTICE MANAGER) |
| Authorized Official Contact | 7657717108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpoint Recovery LLC 3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 Ph: (765) 771-7108 | Wellpoint Recovery LLC 3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 Ph: (765) 771-7108 |
| NPI Number | 1518447309 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518447309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Secondary |
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