Provider Demographics
NPI:1982893061
Name:TARPLEY, WANDA DUNN (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:WANDA
Middle Name:DUNN
Last Name:TARPLEY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 SANDHURST RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4102
Mailing Address - Country:US
Mailing Address - Phone:803-331-0721
Mailing Address - Fax:
Practice Address - Street 1:158 SANDHURST RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4102
Practice Address - Country:US
Practice Address - Phone:803-331-0721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCWP9953Medicaid