AMY C CHAMPION, LLC
NPI 1508536939
Counselor - Professional in O Fallon, IL
- Organization
- Counselor
- Professional
About AMY C CHAMPION, LLC
This page provides the complete NPI Profile along with additional information for Amy C Champion, Llc, a provider established in O Fallon, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1508536939 assigned on September 2021. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Amy C Champion, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Amy Champion Lcpc (Licensed Clinical Professional Coun)
- NPI
- 1508536939 Verify this NPI
- Provider Name
- AMY C CHAMPION, LLC
- Entity Type
- Organization
- Location Address
- 1115 FRONTAGE RD STE B O FALLON, IL 62269
- Location Phone
- (618) 792-5200
- Mailing Address
- 1115 FRONTAGE RD STE B O FALLON, IL 62269
- Mailing Phone
- (618) 792-5200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2021
- Last Update Date
- 09-16-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508536939, enumerated as an "organization" on September 16, 2021.
The provider is located at 1115 FRONTAGE RD STE B O FALLON, IL 62269 and the phone number is (618) 792-5200.
Counselor with taxonomy code 101YP2500X and a focus in Professional.