Restorer of Broken Walls PC
NPI 1811080047ActiveOrganization· Counselor· Chesapeake, VA
Counselor in Chesapeake, Virginia, registered in NPPES in October 2006. The authorized official on file is Amanda Bowers Grizzard, LPC LMFT, Program Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811080047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Jul 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
Other Counselor providers in Chesapeake
- 1558115709
- 1770171027
- 1144907015
- 1265825871
- 1578418752
- 1003388026
- 1417744939
- 1194804575
- 1902285950
- 1497394142
- 1831634948
- 1396551446