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NPI Code Detail

MEDICARE: CHAMPIONS MENTAL HEALTH & WELLNESS

MEDICARE: CHAMPIONS MENTAL HEALTH & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1710870522
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAMPIONS MENTAL HEALTH & WELLNESS
Provider Business Mailing Address
First Line : 5214 ROTHCHILDE CT
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1545
Country : US
Telephone Number : 713-898-5400
Fax Number : 713-597-5897
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1883
Country : US
Telephone Number : 713-487-5854
Fax Number : 713-597-5897
Authorized Official
Title or Position : MANAGING MEMBER
Name : MARYANN CUNNINGHAM MATHESON
Credential : PMHNP-BC, GNP-BC
Telephone Number : 713-898-5400
Provider Enumeration Date : 05/30/2025
Last Update Date : 02/09/2026

Similar Medicare Providers

1285958850 — MARYANN CUNNINGHAM MATHESON NP
Practice Location Address:
13810 CHAMPION FOREST DR STE 150
HOUSTON, TX
77069-1883
Practice Phone: 713-898-5400
Practice Fax: 713-597-5857
1639861362 — ADELLA COUNSELING & WELLNESS, PLLC
Practice Location Address:
13810 CHAMPION FOREST DR STE 150
HOUSTON, TX
77069-1883
Practice Phone: 832-229-6079
Practice Fax: 346-202-0269
1821514415 — MS. TASHA JAMES LPC
Practice Location Address:
13810 CHAMPION FOREST DR STE 150
HOUSTON, TX
77069-1883
Practice Phone: 281-562-8977
Practice Fax: 346-396-3590
1528266707 — SHERELLE LEBLANC-BAPTISTE FNP, PMHNP
Practice Location Address:
13810 CHAMPION FOREST DR STE 150
HOUSTON, TX
77069-1883
Practice Phone: 713-570-9161
Practice Fax:
1205156809 — MRS. DORETHA FRANCINE PENGEL LCSW
Practice Location Address:
13810 CHAMPION FOREST DR STE 150
HOUSTON, TX
77069-1883
Practice Phone: 832-639-8080
Practice Fax:
1659643443 — MS. MARIAN A. COOPER LCSW
Practice Location Address:
13810 CHAMPION FOREST DR STE 150
HOUSTON, TX
77069-1883
Practice Phone: 646-470-1820
Practice Fax:

Directions to “CHAMPIONS MENTAL HEALTH & WELLNESS ” Practice Location

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