| Champion Mental Health & Wellness Llc | |
|
147 Central Ave Port Republic NJ 08241-9750 | |
| (609) 432-3587 | |
| Not Available |
| Full Name | Champion Mental Health & Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 147 Central Ave, Port Republic, New Jersey |
| Authorized Official Name and Position | Elizabeth Champion (OWNER) |
| Authorized Official Contact | 6094323587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Mental Health & Wellness Llc 147 Central Ave Port Republic NJ 08241-9750 Ph: (609) 432-3587 | Champion Mental Health & Wellness Llc 147 Central Ave Port Republic NJ 08241-9750 Ph: (609) 432-3587 |
| NPI Number | 1558291427 |
|---|---|
| Provider Enumeration Date | 05/21/2026 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558291427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |