The Champion Center For Behavioral Therapy Inc.

LBN: The Champion Center For Behavioral Therapy Inc.
The Champion Center For Behavioral Therapy Inc. is an health care organization with primary practice located at 17500 Sycamore Ave , Country Club Hills IL 60478-4884. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Specialist, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. The Champion Center For Behavioral Therapy Inc. can be contacted via phone (312) 536-7779, or through Harrell, Latrice via phone (312) 536-7779.

Contact Information

Primary practice address
17500 Sycamore Ave Country Club Hills IL 60478-4884
Phone: (312) 536-7779
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Latrice
Phone: (312) 536-7779

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Other Service Providers / Specialist 174400000X
Other Service Providers / Health Educator 174H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner 225CA2400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 225XR0403X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1265890784
LBN Legal business name The Champion Center For Behavioral Therapy Inc.
DBA Doing business as
Authorized official Harrell, Latrice
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2016
Last updated Jan 29th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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