Healthcare Provider Details

I. General information

NPI: 1164844221
Provider Name (Legal Business Name): AMANDA LYNNE GUENZEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. AMANDA LYNNE FRONTZ

II. Dates (important events)

Enumeration Date: 01/09/2014
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 BATTLEFIELD BLVD S # 200
CHESAPEAKE VA
23322-5233
US

IV. Provider business mailing address

238 BATTLEFIELD BLVD S # 200
CHESAPEAKE VA
23322-5233
US

V. Phone/Fax

Practice location:
  • Phone: 757-559-7359
  • Fax:
Mailing address:
  • Phone: 757-559-7359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0904015836
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: