Grizzard, Amanda Bowers

Grizzard, Amanda Bowers is an individual health care provider with primary practice located at 644 Independence Pkwy Ste 200 , Chesapeake VA 23320-5212. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Grizzard, Amanda Bowers can be contacted via phone (757) 547-1811.

Contact Information

Primary practice address
644 Independence Pkwy Ste 200 Chesapeake VA 23320-5212
Phone: (757) 547-1811
Fax: (757) 547-1811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000300 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002570 Virginia

Profile Details

NPI number 1356432579
LBN Legal business name Grizzard, Amanda Bowers
Credentials LPC LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356432579 NPPES
Virginia MEDICAID 005415144
Virginia Other 236537
Virginia Other 323829

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