MRS. AMANDA BOWERS GRIZZARD LPC LMFT NPI 1356432579

NPI Information

NPI: 1356432579
Provider Name: MRS. AMANDA BOWERS GRIZZARD, LPC LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
644 INDEPENDENCE PKWY STE 200
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 547-1811
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MRS. Amanda Bowers Grizzard, LPC LMFT is a professional counselor in Chesapeake, VA. MRS. Amanda Bowers Grizzard, LPC LMFT NPI is 1356432579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

644 INDEPENDENCE PKWY STE 200
CHESAPEAKE, VA
ZIP 23320-212
Phone: (757) 547-1811
Fax: (757) 547-1811

The enumeration date for this NPI number is 9/27/2006 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		0717000300	VIRGINIA	No
2	101YP2500X	Counselor	Professional	0701002570	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005415144	MEDICAID	VIRGINIA
2	236537	OTHER		ANTHEM
3	323829	OTHER		TRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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