DEBORAH KAY CHAMPION


Address: 1711 Destiny Ln, Ste. 111, Bowling Green, KY 42104-1066
Phone: 2708463853

DEBORAH KAY CHAMPION (NPI# 1497809008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497809008
Entity Type Individual
Full Name DEBORAH KAY CHAMPION
Credential M.A., LPCC,
Practice Address 1711 Destiny Ln
Ste. 111
Bowling Green
KY 42104-1066
Mailing Address Po Box 156
1711 Destiny Lane, Ste. 111
Bowling Green
KY 42102-0156
Practice Telephone 2708463853
Practice Fax Number 2708463857
Mailing Telephone 2708463853
Mailing Fax Number 2708463857
Enumeration Date 2007-01-22
Last Update Date 2014-01-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
KY-0022 KY Behavioral Health & Social Service Providers

Other Providers DEBORAH CHAMPION

NPI Name Taxonomy Address Enumeration
1871687863 Deborah Reams Champion Dentist 3703 Shawnee Rd, Lima, OH 45806-1618 2006-10-03

Office Location

Street Address 1711 DESTINY LN
STE. 111
City BOWLING GREEN
State KY
Zip Code 42104-1066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053397166 Leslie Ann Hazel Dentist 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104-1066 2005-12-20
1881252534 Freedom Bridge To Recovery Multicare LLC Clinic/Center 1711 Destiny Ln, Bowling Green, KY 42104-1066 2019-05-29
1144703273 Carmen Ralston Behavior Technician 1711 Destiny Ln, Bowling Green, KY 42104-1066 2018-09-14
1922581065 Janice Belcher Behavior Technician 1711 Destiny Ln, Bowling Green, KY 42104-1066 2018-09-14
1750722880 Richard Warren Brinkman Inc Clinic/Center 1711 Destiny Ln, Suite 118, Bowling Green, KY 42104-1066 2013-07-17
1497056451 Christina Noel Behavioral Analyst 1711 Destiny Ln, Suite 106 and 107, Bowling Green, KY 42104-1066 2010-11-08
1851548218 Genesis Medical Laser Center, LLC Clinic/Center 1711 Destiny Ln, Suite 107, Bowling Green, KY 42104-1066 2008-08-27
1568688869 Daily Denture & Dental Services Dentist 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104-1066 2007-04-17
1740291152 Cook's Orthopedics, Inc. Prosthetic/Orthotic Supplier 1711 Destiny Ln, Suite 121, Bowling Green, KY 42104-1066 2006-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699382820 Amy Brickler Counselor 1721 Us 31w Byp, Bowling Green, KY 42101-3030 2020-10-01
1366069429 Tiffany Nora Koester Counselor 305 N. Business 61, Bowling Green, MO 63334-0044 2020-07-06
1790304780 Mind & Body Synergy Center Counselor 333 W Wooster St, Bowling Green, OH 43402-2807 2020-04-10
1679127781 Kw Consulting, LLC Counselor 1054 Searcy Way, Suite E, Bowling Green, KY 42103 2019-07-26
1497310635 Stephanie Ann Menser Counselor 400 E Main Ave Ste 307, Bowling Green, KY 42101-6900 2019-05-02
1841756525 Balance Therapeutic Care, Counseling Services LLC Counselor 661 A, 31-w Bypass, Bowling Green, KY 42101 2019-02-18
1760954770 Yellow Wood Counseling, LLC Counselor 1005 E 15th Ave Ste E, Bowling Green, KY 42104-3002 2019-01-02
1063927671 James Toney Counselor 624 Eastwood St, Bowling Green, KY 42103 2017-12-05
1902343023 Mary Amber Hooper Counselor 225 Rivergreen Ln, Bowling Green, KY 42103-8726 2017-01-26
1336686062 Demetrius King Counselor 1990 Louisville Rd Ste 101, Bowling Green, KY 42101-1202 2017-01-19
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Competitor

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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