Organization
CHAMPION COMPREHENSIVE VIRTUAL SERVICES LLC
Active
Organization
CHAMPION COMPREHENSIVE VIRTUAL SERVICES LLC
Active
Parent organization
CHAMPION COMPREHENSIVE EVOLUTION
Other names
CCVS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHAMPION COMPREHENSIVE EVOLUTION
Authorized official
DR. KATHERINE FERRARI PHD, LCSW, MSW (FOUNDER)
(724) 812-1101
Entity
Organization
Contact information
Practice address
860 BAY VISTA BLVD S, ST PETERSBURG, FL 33705-5947
(724) 812-1101
Mailing address
277 DAHL RD, CHAMPION, PA 15622-2077
(724) 455-2120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/28/2021
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