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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

NPI Number 1912632621
LBN Legal business name ROUNDTABLE COUNSELING CENTER
Authorized official RENEE TILT - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2022
Last updated 07/18/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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