Champion Tms LLC

NPI #1942192232 in Southlake, Texas

Provider Information

NPI Number: 1942192232
Entity Type: Organization
Organization Name: Champion Tms LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 19, 2025
Last Updated: Aug 28, 2025

Practice Location

Address: 771 E SOUTHLAKE BLVD STE 223
City: Southlake
State: Texas
ZIP Code: 76092-7065
Phone: (817) 803-2715

Authorized Official

Name: DR. RUSSELL TENNYSON TOLL, PHD
Title: MANAGING MEMBER
Phone: (512) 663-3142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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