CHAMPION THERAPY


Address: 25435 Fm 2978, Suite 108, Tomball, TX 77375
Phone: 2818137894

CHAMPION THERAPY (NPI# 1932579505) 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) 1932579505
Entity Type Organization
Organization Name CHAMPION THERAPY
Other Organization Name GLORIA RENEE TRAWEEK
Practice Address 25435 Fm 2978
Suite 108
Tomball
TX 77375
Mailing Address 268 Argosy Ln
Montgomery
TX 77316-6858
Practice Telephone 2818137894
Practice Fax Number 8886386067
Mailing Telephone 2818137894
Mailing Fax Number 8886386067
Enumeration Date 2015-09-25
Last Update Date 2015-09-25
Authorized Official Name GLORIA RENEE TRAWEEK (CLINICAL DIRECTOR)
Authorized Official Telephone 2818137894
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 32515 TX Agencies

Other Provider/Organization Names

Other Name Type Code
Gloria Renee Traweek Doing Business As Name - Organization

Office Location

Street Address 25435 FM 2978
SUITE 108
City TOMBALL
State TX
Zip Code 77375

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
1417578402 Peniel Health Services Corporation Community/Behavioral Health 9331 Stablewood Lakes Ln, Tomball, TX 77375-1279 2020-04-30
1518407733 Healing With Love Community/Behavioral Health 24706 Fm 2978 Rd, Tomball, TX 77375-3140 2017-03-07
1265707251 Destine R. Rawls Community/Behavioral Health 11439 Sugar Bowl Dr, Tomball, TX 77375-2844 2012-03-09
1508286956 Sterling Behavioral Health Associates, LLC Community/Behavioral Health 500 Mason St, Tomball, TX 77375-4450 2014-04-24

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1881292738 Actus Behavioral Support LLC Community/Behavioral Health 6213 Smithwick Dr, Mckinney, TX 75070-3573 2020-10-13
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Competitor

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City TOMBALL
Zip Code 77375

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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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