Kendall'S Independence And Developmental Services
Counselor, Mental Health in Richmond, VA. Organization (NPI-2).
NPI number1104767730
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1104767730
- Entity type
- Organization (NPI-2)
- Legal business name
- Kendall'S Independence And Developmental Services
- Organization subpart
- No
- Enumeration date
- Apr 6, 2026
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3900 Chamberlayne AveRichmond, VA 23227-4202
Phone 804-304-7014
Mailing address
3900 Chamberlayne AveRichmond, VA 23227-4202
Phone 804-304-7014
Authorized official
Lamar Blizzard Blizzard
Program Director
8043047014
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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