| Buck Black Mental Health Services, Llc | |
|
100 Saw Mill Rd Ste 3102 Lafayette IN 47905-5598 | |
| (765) 807-6778 | |
| (765) 807-6778 |
| Full Name | Buck Black Mental Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Saw Mill Rd Ste 3102, Lafayette, Indiana |
| Authorized Official Name and Position | Buck J Black (PRESIDENT) |
| Authorized Official Contact | 7658076778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buck Black Mental Health Services, Llc 100 Saw Mill Rd Ste 3102 Lafayette IN 47905-5598 Ph: (765) 807-6778 | Buck Black Mental Health Services, Llc 100 Saw Mill Rd Ste 3102 Lafayette IN 47905-5598 Ph: (765) 807-6778 |
| NPI Number | 1225289242 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 08/06/2023 |
| Certification Date | 08/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225289242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34005584A (Indiana) | Primary |
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