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General NPI Number Information
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NPI Number | 1386151611
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Entity Type | Organization
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Legal Business Name | CHAMPIONS BEHAVIORAL HEALTH P.L.L.C.
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 7211 REGENCY SQUARE BLVD STE 150
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City | HOUSTON
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State | TX
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Zip | 77036-3137
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Country | US
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Telephone | 832-819-1099
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Fax | 832-201-7748
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Provider Business Mailing Address
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Address Line | 11152 WESTHEIMER RD # 774
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City | HOUSTON
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State | TX
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Zip | 77042-3208
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Country | US
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Telephone | 832-819-1099
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Fax | 832-201-7748
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LIZZIE L WEST
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Credential |
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Telephone | 832-819-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 69426
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 69426
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 69426
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 69426
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License Number State | TX
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