Provider Demographics
NPI:1083820849
Name:CHAMPION, YVONNE (LCSW)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:CHAMPION
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 WESTHEIMER RD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3227
Mailing Address - Country:US
Mailing Address - Phone:832-654-5168
Mailing Address - Fax:713-243-8801
Practice Address - Street 1:11200 WESTHEIMER RD
Practice Address - Street 2:SUITE 900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3227
Practice Address - Country:US
Practice Address - Phone:832-654-5168
Practice Address - Fax:713-243-8801
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical