Healthcare Provider Details

I. General information

NPI: 1053286237
Provider Name (Legal Business Name): DREAMZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 TIDEWATER DR
NORFOLK VA
23504-2827
US

IV. Provider business mailing address

1499 TIDEWATER DR
NORFOLK VA
23504-2827
US

V. Phone/Fax

Practice location:
  • Phone: 757-343-1683
  • Fax: 757-512-6251
Mailing address:
  • Phone: 757-343-1683
  • Fax: 757-512-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE WIMBISH
Title or Position: CEO
Credential:
Phone: 757-343-1683