CHAMPION BEHAVIORAL HEALTH SERVICES (NPI# 1720509235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720509235 |
| Entity Type | Organization |
| Organization Name | CHAMPION BEHAVIORAL HEALTH SERVICES |
| Practice Address |
3171 Skyview Dr Lithia Springs GA 30122-2361 |
| Practice Telephone | (404) 804-0985 |
| Practice Fax Number | 4043937245 |
| Mailing Telephone | 4048040985 |
| Mailing Fax Number | 4043937245 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | CHRISTIE A PHILLIPS (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4045451239 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC007634 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC007348 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3171 SKYVIEW DR |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508261231 | Christie Phillips | Counselor | 3171 Skyview Dr, Lithia Springs, GA 30122-2361 | 2014-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798838 | Vivian Adu-aboagye | Registered Nurse | 7603 Forest Glen Way, Lithia Springs, GA 30122 | 2018-08-02 |
| 1588150510 | Vanessa Levet Hayes | Driver | 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 | 2018-07-02 |
| 1699279141 | Ariel Shell | Massage Therapist | 2060 Rolling Rock Ct, Lithia Springs, GA 30122 | 2018-03-20 |
| 1013323872 | First Choice Supportive Services, Incorporated | Personal Emergency Response Attendant | 3423 Summerlin Parkway, Lithia Springs, GA 30122 | 2014-07-01 |
| 1245659275 | Thumbs-up Transportation | Non-emergency Medical Transport (VAN) | 1517 Fenmore St., Lithia Springs, GA 30122 | 2014-04-07 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1548473267 | Lawrence Vision, Inc. | Ophthalmology | 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 | 2007-05-08 |
| 1790903342 | Nahid Bahrami | Dentist | 524 Thornton Rd., Lithia Springs, GA 30122 | 2007-04-20 |
| 1831231828 | Harley Alan Belinky | Dentist | 1515 Westfork Dr., Lithia Springs, GA 30122 | 2007-02-13 |
| Find all providers in zip 30122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754936 | Rhonda Denise Baker Crouch | Counselor | 618 Thornton Rd Ste 3-113, Lithia Springs, GA 30122-1518 | 2020-09-10 |
| 1528541372 | Kori Renee Lee | Counselor | 9116 Loxford St, Lithia Springs, GA 30122-6413 | 2018-09-07 |
| 1952848731 | Terell Tepper | Counselor | 690 Thornton Way, Lithia Springs, GA 30122-2613 | 2017-01-31 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1255673695 | Hugging Arms Inc | Counselor | 1324 Crestmark Blvd, Lithia Springs, GA 30122-4428 | 2013-03-24 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1356430656 | Karen S. Brand | Counselor | 561 Thornton Rd, Suite R, Lithia Springs, GA 30122-1558 | 2006-10-12 |
| 1972133726 | Erica Jasper | Counselor | 561 Thornton Rd, Lithia Springs, GA 30122-1558 | 2020-01-21 |
| 1417314170 | Restoring The Whole U | Counselor | 2000 Oakleaf Ln, Lithia Springs, GA 30122-2927 | 2016-01-26 |
| 1093057382 | Antonio D Lacey | Counselor | 1324 Crestmark Blvd, Lithia Springs, GA 30122-4428 | 2013-03-25 |
| Find all providers in LITHIA SPRINGS | ||||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
Please comment or provide details below to improve the information on CHAMPION BEHAVIORAL HEALTH SERVICES.
| 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.