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Organization
CHAMPION WELLNESS, INC.
Active
Organization
CHAMPION WELLNESS, INC.
Active
Other names
Champion Wellness Service, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHNARIKA SIMONE POWELL PMHNP (PMHNP)
(706) 489-4719
Entity
Organization
Contact information
Practice address
9723 109TH STREET CT SW, LAKEWOOD, WA 98498-3059
(253) 342-4713
Mailing address
9723 109TH STREET CT SW, LAKEWOOD, WA 98498-3059
(253) 342-4713
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
01/17/2026
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