Restorer Of Broken Walls

LBN: Restorer Of Broken Walls
Restorer Of Broken Walls is an health care organization with primary practice located at 644 Independence Parkway Suite 200, Chesapeake VA 23320. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Restorer Of Broken Walls can be contacted via phone (757) 547-1811, or through Grizzard, Amanda Bowers via phone (757) 547-1811.

Contact Information

Primary practice address
644 Independence Parkway Suite 200 Chesapeake VA 23320
Phone: (757) 547-1811
Fax: (757) 547-1118
Website:
Map and Directions
Authorized official contact:
Name: Grizzard, Amanda Bowers LPC LMFT
Phone: (757) 547-1811

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1811080047
LBN Legal business name Restorer Of Broken Walls
DBA Doing business as
Authorized official Grizzard, Amanda Bowers LPC LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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