Provider Demographics
NPI:1790209849
Name:CAMPBELL, BRIANNA TARPEY (LMFT 113607)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:TARPEY
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:LMFT 113607
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:GLYN
Other - Last Name:TARPEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10255 38TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-1119
Mailing Address - Country:US
Mailing Address - Phone:925-876-9547
Mailing Address - Fax:
Practice Address - Street 1:10255 38TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146-1119
Practice Address - Country:US
Practice Address - Phone:925-876-9547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113607101YM0800X, 106H00000X
CA170132014101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool