Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE CHAMPION CENTER FOR BEHAVIORAL THERAPY INC.
Active
Organization
THE CHAMPION CENTER FOR BEHAVIORAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE HARRELL (EXECUTIVE DIRECTOR)
(312) 536-7779
Entity
Organization
Contact information
Practice address
17500 SYCAMORE AVE, COUNTRY CLUB HILLS, IL 60478-4884
(312) 536-7779
Mailing address
17500 SYCAMORE AVE, COUNTRY CLUB HILLS, IL 60478-4884
(312) 536-7779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
103K00000X
Behavior Analyst
Primary
—
IL
103T00000X
Psychologist
—
IL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
222Q00000X
Developmental Therapist
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers