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Contact Information

ROUNDTABLE COUNSELING CENTER
3741 ROME DR STE B
LAFAYETTE, IN47905-4490
 Phone: 765-490-4808
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Mental Health

101YM0800X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ROUNDTABLE COUNSELING CENTER · (Female)

NPI # 1912632621
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2022
Last updated 07/18/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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