Ms. Patricia A Champ, LMHC, LADC 1
Counselor, Addiction (Substance Use Disorder) in S Yarmouth, Massachusetts
1932221090- Practice location
- 20 Forsythe Ave, S Yarmouth, MA 02664-1814
- Phone
- 508-398-5155
- Fax
- 508-398-3478
- Last updated
- July 8, 2007
Patricia Ann Champ is a Counselor, Addiction (Substance Use Disorder) based in S Yarmouth, MA. Patricia Ann Champ practices in S Yarmouth, MA and has the professional credentials of LMHC, LADC 1. The NPI Number for Patricia Ann Champ is 1932221090 and holds a License No. 4936 , 269 (MA). The current practice location address for Patricia Ann Champ is 20 Forsythe Ave, S Yarmouth, MA 02664-1814 and can be reached out via phone at 508-398-5155 and via fax at 508-398-3478.
Provider Profile Details
- NPI Number
- 1932221090
- Provider Name
- Patricia Ann Champ
- Credential
- LMHC, LADC 1
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Forsythe Ave, S Yarmouth, MA 02664-1814
- Phone Number
- 508-398-5155
- Fax Number
- 508-398-3478
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 6, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Forsythe Ave
S Yarmouth, MA 02664-1814 - City
- S Yarmouth
- State
- Massachusetts
- Zip
- 02664-1814
- Phone Number
- 508-398-5155
- Fax Number
- 508-398-3478
Provider Business Mailing Address Details
- Address
- 116 Brook RD
Plymouth, MA 02360-6330 - City
- Plymouth
- State
- MA
- Zip
- 02360-6330
- Phone Number
- 508-224-5668
License Information
- License Number
- 4936 , 269
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Patricia A Champ, LMHC, LADC 1?
The NPI number of Ms. Patricia A Champ, LMHC, LADC 1 is 1932221090. It was assigned on April 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Patricia A Champ, LMHC, LADC 1?
Ms. Patricia A Champ, LMHC, LADC 1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 4936 , 269.
Where does Ms. Patricia A Champ, LMHC, LADC 1 practice?
The practice location is 20 Forsythe Ave, S Yarmouth, MA 02664-1814. The office can be reached at 508-398-5155 (phone) or 508-398-3478 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932221090 directly on the NPPES registry website.