Roundtable Wellness

LBN: Roundtable Wellness
Roundtable Wellness is an health care organization with primary practice located at 904 South St , Lafayette IN 47901-1416. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Dietitian, Registered, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Roundtable Wellness can be contacted via phone (765) 630-7222, or through Tilt, Renee M via phone (765) 630-7222.

Contact Information

Primary practice address
904 South St Lafayette IN 47901-1416
Phone: (765) 630-7222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tilt, Renee M RDN, CSP
Phone: (765) 630-7222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1013366251
LBN Legal business name Roundtable Wellness
DBA Doing business as
Authorized official Tilt, Renee M RDN, CSP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Apr 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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