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CHAMPION FAMILY THERAPY LLC NPI 1255812566


NPI Information

NPI: 1255812566
Provider Name: CHAMPION FAMILY THERAPY, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
240 COUNTRY CLUB RD STE B
EUGENE, OR
ZIP 97401
Phone: (541) 343-7200
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CHAMPION FAMILY THERAPY, LLC is a marriage family therapist in Eugene, OR. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. CHAMPION FAMILY THERAPY, LLC NPI is 1255812566. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 COUNTRY CLUB RD STE B
EUGENE, OR
ZIP 97401-479
Phone: (541) 343-7200
Fax: (844) 364-4271

The provider's authorized official is Jessica Champion .
The authorized official title is Owner and has the following contact phone number (541) 632-3909.

The enumeration date for this NPI number is 8/24/2018 and was last updated on 2/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4103TC0700XPsychologistClinicalNo
5106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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